Active NPI
Just in Time Behavioral Services
- Clinical Social Worker
- Union City, GA
National Provider Identifier
1114770161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JUST IN TIME BEHAVIORAL SERVICES
- Practice address
- 4405 Mall Blvd Ste 230
Union City, GA 30291-2071 - Phone
- (770) 256-7800
- Fax
- (770) 964-2425
- NPI assigned
- Apr 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Todd
- Title
- Ceo
- Phone
- (770) 256-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4405 Mall Blvd Ste 230
Union City, GA 30291-2071
Mailing address
4405 Mall Blvd Ste 230
Union City, GA 30291-2071
National Provider Directory
National Provider DirectoryLocations
4405 Mall Blvd
Ste 230
Union City, GA 30291
Phone (770) 256-7800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717545600000",
"number": "1114770161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 MALL BLVD STE 230",
"city": "UNION CITY",
"state": "GA",
"postal_code": "302912071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 MALL BLVD STE 230",
"city": "UNION CITY",
"state": "GA",
"postal_code": "302912071",
"telephone_number": "770-256-7800",
"fax_number": "770-964-2425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST IN TIME BEHAVIORAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-09",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "TODD",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-256-7800"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.