Organization Active NPI

Assurance Professional Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Atlanta, GA
National Provider Identifier
1275946451
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ASSURANCE PROFESSIONAL SERVICES INC
Practice address
1414 Moreland Ave SE
Atlanta, GA 30316-3207
Phone
(404) 627-1774
Fax
(404) 627-1765
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Clarence W Massie Jr., ICADC, CADC-IINPI 1295148476
Title
Agent
Phone
(404) 627-1774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1414 Moreland Ave SE
Atlanta, GA 30316-3207

Mailing address

1414 Moreland Ave SE
Atlanta, GA 30316-3207
Phone (404) 627-1774

National Provider Directory

National Provider Directory

Locations

1414 Moreland Ave SE
Atlanta, GA 30316
Phone (404) 627-1774

Practitioners & affiliated clinicians

Practitioners 1

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": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1275946451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MORELAND AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163207",
            "telephone_number": "404-627-1774",
            "fax_number": "404-627-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MORELAND AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163207",
            "telephone_number": "404-627-1774",
            "fax_number": "404-627-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE PROFESSIONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "404-627-1774",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ICADC, CADC-II"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Jun 5, 2014; 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.