Active NPI
Premier Psychiatric and Psychotherapy Consulting, LLC
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1134565062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CSW001895
- Legal business name
- PREMIER PSYCHIATRIC AND PSYCHOTHERAPY CONSULTING, LLC
- Practice address
- 1430 Stephens Dr NE
Atlanta, GA 30329-3716 - Phone
- (404) 245-6536
- NPI assigned
- May 19, 2013
- 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
- Joe Botnick, LCSW
- Title
- Ceo
- Phone
- (404) 245-6536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CSW001895 | GA | Primary |
Addresses
Primary practice location
1430 Stephens Dr NE
Atlanta, GA 30329-3716
Mailing address
1430 Stephens Dr NE
Atlanta, GA 30329-3716
Phone (404) 245-6536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Premier Psychiatric and Psychotherapy Consulting LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1790114841
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1780676031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368921600000",
"number": "1134565062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 STEPHENS DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303293716",
"telephone_number": "404-245-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 STEPHENS DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303293716",
"telephone_number": "404-245-6536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER PSYCHIATRIC AND PSYCHOTHERAPY CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-19",
"last_updated": "2013-05-19",
"status": "A",
"authorized_official_last_name": "BOTNICK",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-245-6536",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "CSW001895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
- Premier Image Cosmetic & Laser Surgery
- Premier Injury Specialist
- Premier Med Solutions LLC
- Premier Psychiatric & Psychotherapy Consulting
- Premier Psychiatric and Medical Consultants
- Premier Shockwave, Inc.
- Premier South Medical Group, P.C.
- Premier Surgical Pavilion of Atlanta LLC
- Premier Testing and Screening Solutions, LLC
- Premier Vision Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2013; 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.