Westcare Georgia

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

C10000012118 Issued in GA

Legal business name

WESTCARE GEORGIA

Practice address

827 Pryor St SW
Atlanta, GA 30315-1016

Phone

(404) 761-7485

Fax

(404) 761-8427

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Robert Neri

Title

Senior Vice President

Phone

(727) 490-6767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1194942649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12019",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337332019",
            "telephone_number": "727-490-6767",
            "fax_number": "727-835-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 PRYOR ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303151016",
            "telephone_number": "404-761-7485",
            "fax_number": "404-761-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCARE GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "NERI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "727-490-6767"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "GA",
            "license": "C10000012118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor West
• Zachary Eugene West, MD
• Perry Manson Westberry, PA-C
• Erin Westbrook, AUD.
• Maryann S Westbrook, RN
• Claire McCamman Westdahl, CNM
• Olivia Westemeier
• Laura A. Westen, PHD
• Meaghan Annalise Westenhaver, FNP
• Susan S Westergard, LCSW

• Emotionally Disturbed Childrens' Residential Treatment Facility in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.