Sun Valley Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SUN VALLEY PSYCHIATRY LLC

Practice address

555 Sun Valley Dr Ste M1
Roswell, GA 30076-5631

Phone

(678) 394-0000

Fax

(678) 745-5656

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ashim Mehta, MDNPI 1255770780

Title

Owner

Phone

(678) 394-0000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Ashim Mehta, M.D.

  • Psychiatry Physician
  • Rome, GA
  • NPI 1255770780
  Medicare reassignment NPD Authorized official
• Carolyn Lizzy Mwangi

  • Family Nurse Practitioner
  • Dahlonega, GA
  • NPI 1164970661
  Medicare reassignment NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1174207948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE M1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765631",
            "telephone_number": "678-394-0000",
            "fax_number": "678-745-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE M1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765631",
            "telephone_number": "678-394-0000",
            "fax_number": "678-745-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "ASHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-394-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.