Organization Active NPI

Psychotherapy Services Management, Inc.

  • Psychologist
  • College Park, GA
National Provider Identifier
1225126089
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PSYCHOTHERAPY SERVICES MANAGEMENT, INC.
Practice address
2900 Camp Creek Pkwy
K-1
College Park, GA 30337-3000
Phone
(404) 254-5272
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brandon Rashied Sands
Title
Coo
Phone
(404) 396-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2900 Camp Creek Pkwy
K-1
College Park, GA 30337-3000

Mailing address

PO Box 1342
Atlanta, GA 30301-1342
Phone (404) 254-5272

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225126089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1342",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303011342",
            "telephone_number": "404-254-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CAMP CREEK PKWY",
            "address_2": "K-1",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373000",
            "telephone_number": "404-254-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY SERVICES MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "RASHIED",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "404-396-2160"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.