NPIMap

Organization Active NPI

Behavioral Management Group, LLC

  • Psychologist
  • Snellville, GA
National Provider Identifier
1265779904
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY002760 Issued in GA
Legal business name
BEHAVIORAL MANAGEMENT GROUP, LLC
Practice address
2795 Main St W
Building 19, Suite B
Snellville, GA 30078-3164
Phone
(770) 686-3908
Fax
(770) 674-7854
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Dr. Melonie Bell Hill, PHD
Title
Owner
Phone
(770) 686-3908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PSY002760 GA Primary

Addresses

Primary practice location

2795 Main St W
Building 19, Suite B
Snellville, GA 30078-3164

Mailing address

2795 Main St W
Building 19, Suite B
Snellville, GA 30078-3164
Phone (770) 686-3908

National Provider Directory

National Provider Directory

Locations

2795 Main St W
Ste 19B
Snellville, GA 30078
Phone (404) 357-9512

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1265779904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 MAIN ST W",
            "address_2": "BUILDING 19, SUITE B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783164",
            "telephone_number": "770-686-3908",
            "fax_number": "770-674-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 MAIN ST W",
            "address_2": "BUILDING 19, SUITE B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783164",
            "telephone_number": "770-686-3908",
            "fax_number": "770-674-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MELONIE",
        "authorized_official_middle_name": "BELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-686-3908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.