Active NPI
Osama Saad Hindash
- Adult Mental Health Clinic/Center
- Roswell, GA
National Provider Identifier
1154466647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 035652
- Legal business name
- OSAMA SAAD HINDASH
- Practice address
- 801 Macy Dr
Roswell, GA 30076-6333 - Phone
- (678) 799-9277
- Fax
- (678) 795-9709
- NPI assigned
- Feb 21, 2007
- 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
- Dr. Osama Saad Hindash, M.D.
- Title
- Owner
- Phone
- (678) 799-9277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 035652 | GA | Primary |
Addresses
Primary practice location
801 Macy Dr
Roswell, GA 30076-6333
Mailing address
801 Macy Dr
Roswell, GA 30076-6333
Phone (678) 799-9277
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300766339 | Other | GA | MAGELLAN |
| 3503338 | Other | GA | AETNA |
| 52624445 006 | Other | GA | BLUE CROSS BLUE SHIELD |
| 209235687A | Medicaid | GA | |
| 1545911 | Other | GA | CAQH |
Other names 1
- Azure for Health & Human Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
801 Macy Dr
Roswell, GA 30076
Phone (678) 795-0346
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Roswell, GA
- NPI 1689710790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283990400000",
"number": "1154466647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766333",
"telephone_number": "678-799-9277",
"fax_number": "678-795-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766333",
"telephone_number": "678-799-9277",
"fax_number": "678-795-9709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSAMA SAAD HINDASH",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2010-09-09",
"status": "A",
"authorized_official_last_name": "HINDASH",
"authorized_official_first_name": "OSAMA",
"authorized_official_middle_name": "SAAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-799-9277",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "GA",
"license": "035652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "300766339",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3503338",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "52624445 006",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209235687A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "1545911",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Azure for Health & Human Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.