I Care Mental Health Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

APC003377 Issued in GA

Legal business name

I CARE MENTAL HEALTH INC.

Practice address

2591 Macon Dr SW
Atlanta, GA 30315-8305

Phone

(404) 762-7904

Fax

(404) 768-4205

NPI assigned

May 2, 2012

Organization subpart

Yes

Parent organization

I CARE MENTAL HEALTHAs reported in NPPES

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

Authorized official

Name

Mr. James Agboola Abolarin, THERAPIST

Title

Ceo

Phone

(404) 429-7173

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1144588682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 MACON DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303158305",
            "telephone_number": "404-762-7904",
            "fax_number": "404-768-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 MACON DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303158305",
            "telephone_number": "404-762-7904",
            "fax_number": "404-768-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CARE MENTAL HEALTH INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I CARE MENTAL HEALTH",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "ABOLARIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "AGBOOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-429-7173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "THERAPIST"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "APC003377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GEORGIA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.