NPIMap

Organization Active NPI

Atlanta Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • Stockbridge, GA
National Provider Identifier
1114106309
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSW002841 Issued in GA
Legal business name
ATLANTA PSYCHOTHERAPY, LLC
Practice address
175 Country Club Dr BLDG 200E
Stockbridge, GA 30281-7381
Phone
(770) 389-1925
Fax
(770) 389-3077
NPI assigned
Oct 24, 2007
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Mrs. Dorothy D Watts, LCSWNPI 1750461497
Title
Owner/Ceo
Phone
(770) 389-1925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSW002841 GA Primary

Addresses

Primary practice location

175 Country Club Dr BLDG 200E
Stockbridge, GA 30281-7381

Mailing address

175 Country Club Dr BLDG 200E
Stockbridge, GA 30281-7381
Phone (770) 389-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091228000019 GA Part B Supplier - Clinic/Group Practice 4385784206 Receives reassigned benefits from 5 practitioners
Practice locations: Stockbridge, GA

National Provider Directory

National Provider Directory

Locations

831 Fairways Ct
Stockbridge, GA 30281
Phone (678) 612-2158

831 Fairways Ct
Ste A
Stockbridge, GA 30281
Phone (770) 389-1925

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1114106309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 COUNTRY CLUB DR BLDG 200E",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817381",
            "telephone_number": "770-389-1925",
            "fax_number": "770-389-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 COUNTRY CLUB DR BLDG 200E",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817381",
            "telephone_number": "770-389-1925",
            "fax_number": "770-389-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "770-389-1925",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW002841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.