NPIMap

Organization Active NPI

Genesis Behavioral Health and Collaborative Services, LLC

  • Psychiatry Physician
  • McDonough, GA
National Provider Identifier
1093890261
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
050537 Issued in GA
Legal business name
GENESIS BEHAVIORAL HEALTH AND COLLABORATIVE SERVICES, LLC
Practice address
2340 Patrick Henry Pkwy
Ste 225
McDonough, GA 30253-4214
Phone
(770) 389-8100
Fax
(770) 389-3030
NPI assigned
Oct 26, 2006
Last updated
Feb 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Yolanda Malone-Gilbert, M.D.NPI 1013018720
Title
Provider
Phone
(770) 389-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 050537 GA Primary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X 050537 GA

Addresses

Primary practice location

2340 Patrick Henry Pkwy
Ste 225
McDonough, GA 30253-4214

Mailing address

2340 Patrick Henry Pkwy
Ste 225
McDonough, GA 30253-4214
Phone (770) 389-8100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1093890261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "STE 225",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534214",
            "telephone_number": "770-389-8100",
            "fax_number": "770-389-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "STE 225",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534214",
            "telephone_number": "770-389-8100",
            "fax_number": "770-389-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS BEHAVIORAL HEALTH AND COLLABORATIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "MALONE-GILBERT",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "770-389-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "050537",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "050537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.