Organization Active NPI

Just in Time Behavioral Services

  • Clinical Social Worker
  • Union City, GA
National Provider Identifier
1114770161
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 5, 2024

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.