Northeast Georgia Mental Health Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

062482 Issued in GA

Legal business name

NORTHEAST GEORGIA MENTAL HEALTH SERVICES, LLC

Practice address

285 S Perry St
Lawrenceville, GA 30046-4840

Phone

(770) 307-8053

Fax

(770) 783-6334

NPI assigned

Apr 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Anmei Cai

Title

Owner

Phone

(770) 307-8053

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1336430263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 6-186",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246737",
            "telephone_number": "770-307-8053",
            "fax_number": "770-783-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 S PERRY ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464840",
            "telephone_number": "770-307-8053",
            "fax_number": "770-783-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "CAI",
        "authorized_official_first_name": "ANMEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-307-8053",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "062482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "863979251",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.