NPIMap

Organization Active NPI

Department of Behavioral Health and Developmental Disabilities

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upatoi, GA
National Provider Identifier
1386879666
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Practice address
13260 Upatoi LN
Upatoi, GA 31829-2143
Phone
(706) 565-0770
NPI assigned
May 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Ms. Heather Nix
Title
MH / DD Team Leader
Phone
(706) 565-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

13260 Upatoi LN
Upatoi, GA 31829-2143

Mailing address

13260 Upatoi LN
Upatoi, GA 31829-2143
Phone (706) 565-0770

Other identifiers 1

IdentifierTypeStateIssuer
000870768FMedicaidGA

Other names 1

  • West Central Community Integration Home #1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
NW Ga Regional Hosp53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1386879666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13260 UPATOI LN",
            "city": "UPATOI",
            "state": "GA",
            "postal_code": "318292143",
            "telephone_number": "706-565-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13260 UPATOI LN",
            "city": "UPATOI",
            "state": "GA",
            "postal_code": "318292143",
            "telephone_number": "706-565-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MH / DD TEAM LEADER",
        "authorized_official_telephone_number": "706-565-0770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000870768F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Central Community Integration Home #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upatoi, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.