Active NPI
Biologic Behavioral LLC
- Psychiatry Physician
- Decatur, GA
National Provider Identifier
1316369341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 58145
- Legal business name
- BIOLOGIC BEHAVIORAL LLC
- Practice address
- 2107 N Decatur Rd
Suite 351
Decatur, GA 30033-5305 - Phone
- (404) 395-5025
- Fax
- (404) 370-1324
- NPI assigned
- Jan 10, 2014
- Last updated
- Jan 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Corey Beck, M.D.
- Title
- Owner
- Phone
- (404) 395-5025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 58145 | GA | Primary |
Addresses
Primary practice location
2107 N Decatur Rd
Suite 351
Decatur, GA 30033-5305
Mailing address
2107 N Decatur Rd
Suite 351
Decatur, GA 30033-5305
Phone (404) 395-5025
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389312000000",
"number": "1316369341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 N DECATUR RD",
"address_2": "SUITE 351",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335305",
"telephone_number": "404-395-5025",
"fax_number": "404-370-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 N DECATUR RD",
"address_2": "SUITE 351",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335305",
"telephone_number": "404-395-5025",
"fax_number": "404-370-1324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOLOGIC BEHAVIORAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-10",
"last_updated": "2014-01-10",
"status": "A",
"authorized_official_last_name": "BECK",
"authorized_official_first_name": "COREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-395-5025",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "58145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
- Janelle Eloise Bingham, CCC-SLP
- Cailey Ann Binkley, M.ED.
- Bio-Medical Applications of Georgia, Inc. (FMC Dialysis Services Snapfinger)
- Bio-Medical Applications of Georgia, Inc. (Fmcna Dialysis Services of Decatur)
- Bio-Medical Applications of Georgia, Inc. (Bma Dekalb Gwinnett)
- Maria Teresa Bips, PA-C
- Lawrence A. Bircoll, M.D.
- Jamilah L Birdsong, O.D.
- Leah Mackenzie Birdsong
- Beth Margaret Birmingham, OTR/L, CHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.