Rockdale Psychiatric Associates PC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

029066 Issued in GA

Legal business name

ROCKDALE PSYCHIATRIC ASSOCIATES PC

Practice address

1397 Manchester Dr NE
Conyers, GA 30012-3882

Phone

(770) 922-0255

Fax

(770) 922-3132

NPI assigned

Oct 19, 2009

Last updated

Oct 19, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Annamarie Spillane Paulsen, M.D.NPI 1285766055

Title

Owner

Phone

(770) 922-0255

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annamarie S Paulsen, MD

  • Child & Adolescent Psychiatry Physician
  • Conyers, GA
  • NPI 1285766055
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1093041584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 MANCHESTER DR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123882",
            "telephone_number": "770-922-0255",
            "fax_number": "770-922-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 MANCHESTER DR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123882",
            "telephone_number": "770-922-0255",
            "fax_number": "770-922-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKDALE PSYCHIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "PAULSEN",
        "authorized_official_first_name": "ANNAMARIE",
        "authorized_official_middle_name": "SPILLANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-922-0255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "GA",
            "license": "029066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00516381B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rockdale Vascular and Thoracic Surgery, LLC
• Rocky Mountain Holdings LLC
• Danielle Marie Roddy
• Rodney a West, DC, LLC
• Natasha Roebuck

• Prescribing (Medical) Psychologist in Conyers, GA
• Providers in Conyers, GA by specialty
• Prescribing (Medical) Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.