Organization Active NPI

Senior Therapy Associates of Atlanta, Inc

  • Community/Behavioral Health Agency
  • Marietta, GA
National Provider Identifier
1366849010
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSW005154 Issued in GA
Legal business name
SENIOR THERAPY ASSOCIATES OF ATLANTA, INC
Practice address
4000 Riverlook Pkwy SE
Unit 207
Marietta, GA 30067-4846
Phone
(404) 272-1451
NPI assigned
Nov 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Jessica Brown Weinstein, LCSW
Title
Ceo
Phone
(404) 272-1451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSW005154 GA Primary

Addresses

Primary practice location

4000 Riverlook Pkwy SE
Unit 207
Marietta, GA 30067-4846

Mailing address

4000 Riverlook Pkwy SE
Unit 207
Marietta, GA 30067-4846
Phone (404) 272-1451

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1366849010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 RIVERLOOK PKWY SE",
            "address_2": "UNIT 207",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674846",
            "telephone_number": "404-272-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 RIVERLOOK PKWY SE",
            "address_2": "UNIT 207",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674846",
            "telephone_number": "404-272-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR THERAPY ASSOCIATES OF ATLANTA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-272-1451",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW005154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.