Organization Active NPI

Quality Care PCH, Inc.

  • Intellectual & Developmental Disabilities Psychologist
  • Atlanta, GA
National Provider Identifier
1194597401
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
QUALITY CARE PCH, INC.
Practice address
1371 Kimberly Way SW
Atlanta, GA 30331-4602
Phone
(404) 587-1950
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Mr. Christopher Perdue, MR.
Title
Administrator
Phone
(404) 587-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

1371 Kimberly Way SW
Atlanta, GA 30331-4602

Mailing address

2766 Spain Dr
East Point, GA 30344-3944
Phone (404) 587-1950

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1194597401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 SPAIN DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443944",
            "telephone_number": "404-587-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 KIMBERLY WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303314602",
            "telephone_number": "404-587-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE PCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "PERDUE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-587-1950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MR."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.