Ga Psychiatric Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

09030920 Issued in GA

Legal business name

GA PSYCHIATRIC SERVICES, LLC

Practice address

2150 Peachford Rd Ste K
Atlanta, GA 30338-6539

Phone

(770) 458-0450

Fax

(770) 458-0470

NPI assigned

Jun 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Suneel Babu Katragadda, M.D.NPI 1972632388

Title

President

Phone

(770) 458-0450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suneel Babu Katragadda, M.D.

  • Child & Adolescent Psychiatry Physician
  • Atlanta, GA
  • NPI 1972632388
  Medicare reassignment NPD Authorized official
• Megan Bentley Eslava, LPC

  • Professional Counselor
  • Gainesville, GA
  • NPI 1447729546
  NPD (past)
• Andrew Haynes, M.S., LPC, NCC

  • Professional Counselor
  • Gainesville, GA
  • NPI 1992393441
  NPD (past)
• Jessica Stearns, LPC

  • Professional Counselor
  • Gainesville, GA
  • NPI 1326407669
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1124255070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 SHALLOWFORD RD NE STE 104",
            "address_2": "PMB 324",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451200",
            "telephone_number": "404-323-8862",
            "fax_number": "404-478-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD STE K",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386539",
            "telephone_number": "770-458-0450",
            "fax_number": "770-458-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "KATRAGADDA",
        "authorized_official_first_name": "SUNEEL",
        "authorized_official_middle_name": "BABU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-458-0450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "09030920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.