Organization Active NPI

Zephyr Meadows, PC

  • Adolescent and Children Mental Health Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1295920171
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
PSY002609 Issued in GA
Legal business name
ZEPHYR MEADOWS, PC
Practice address
170 Whitney St
Fayetteville, GA 30214-2012
Phone
(770) 843-9026
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Dr. Wendy Bailey, PH.D
Title
Clinical Psychologist/Director
Phone
(770) 843-9026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X PSY002609 GA Primary

Addresses

Primary practice location

170 Whitney St
Fayetteville, GA 30214-2012

Mailing address

2220 Wisteria Dr
Snellville, GA 30078-2656
Phone (678) 252-2137

National Provider Directory

National Provider Directory
Tax ID family
Zephyr Meadows PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1295920171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 WISTERIA DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782656",
            "telephone_number": "678-252-2137",
            "fax_number": "678-336-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WHITNEY ST",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142012",
            "telephone_number": "770-843-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEPHYR MEADOWS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/DIRECTOR",
        "authorized_official_telephone_number": "770-843-9026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": "PSY002609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.