Organization Active NPI

Echoic Autism Center Inc

  • Community/Behavioral Health Agency
  • Newnan, GA
National Provider Identifier
1104584697
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ECHOIC AUTISM CENTER INC
Practice address
414 Jefferson Street Ext # C327
Newnan, GA 30263-1627
Phone
(470) 883-2733
NPI assigned
Dec 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Sharee Ross
Title
Owner
Phone
(470) 883-2733

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

414 Jefferson Street Ext # C327
Newnan, GA 30263-1627

Mailing address

414 Jefferson Street Ext # C327
Newnan, GA 30263-1627
Phone (470) 883-2733

Other names 1

  • Echoic Autism Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1104584697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 JEFFERSON STREET EXT # C327",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631627",
            "telephone_number": "470-883-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 JEFFERSON STREET EXT # C327",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631627",
            "telephone_number": "470-883-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHOIC AUTISM CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SHAREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-883-2733"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Echoic Autism Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Echoic Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.