Holistic Family Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HOLISTIC FAMILY PSYCHIATRY

Doing business as

Holistic Family Psychiatry LLC

Practice address

1535 Mount Vernon Rd Ste 100-a
Atlanta, GA 30338-4149

Phone

(404) 951-6020

NPI assigned

Jan 23, 2020

Last updated

Aug 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Panchajanya PaulNPI 1356664007

Title

MD

Phone

(678) 250-8883

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holistic Family Psychiatry LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Panchajanya Paul, MD

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1356664007
  Medicare reassignment NPD Authorized official
• Yolande Villain

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1093580011
  Medicare reassignment NPD
• Lyla A Bryan, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Smyrna, GA
  • NPI 1609737469
  Medicare reassignment
• Diahann Meekins Moore, MD

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1669707956
  NPD (past)

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1285264770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889128",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303561128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 MOUNT VERNON RD STE 100-A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384149",
            "telephone_number": "404-951-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC FAMILY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "PANCHAJANYA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "678-250-8883",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAUL PANCHAJANYA NPI",
            "identifier": "1356664007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Family Psychiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Gail Holecek, MPH, OTRL
• Gwendolyn Darleen Holeman, M.D.
• Kenneth G Holewinski, DC
• Asia Sedawn Denelle Holiday
• Demetrius Denise Holiday, PNP
• Holistic Harbor Psychotherapy and Wellness, Inc.
• Holistic Haven Counseling LLC
• Holistic Health and Community Services Inc
• Holistic Occupational and Physical Therapy LLC
• Holistic Speech and Feeding Therapy

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.