Organization Active NPI

Lotus Stream Psychiatry LLC

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1376224972
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LOTUS STREAM PSYCHIATRY LLC
Practice address
3330 Cumberland Blvd SE Ste 500
Atlanta, GA 30339-5997
Phone
(770) 852-0039
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Binh Ngolton, MDNPI 1326569625
Title
Owner
Phone
(770) 852-0039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

3330 Cumberland Blvd SE Ste 500
Atlanta, GA 30339-5997

Mailing address

3330 Cumberland Blvd SE Ste 500
Atlanta, GA 30339-5997
Phone (770) 852-0039

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1376224972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395997",
            "telephone_number": "770-852-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395997",
            "telephone_number": "770-852-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS STREAM PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "NGOLTON",
        "authorized_official_first_name": "BINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-852-0039",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.