NPIMap

Organization Active NPI

Keystone Psychiatric Care LLC

  • Addiction Psychiatry Physician
  • Johns Creek, GA
National Provider Identifier
1396389185
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
KEYSTONE PSYCHIATRIC CARE LLC
Practice address
11030 Jones Bridge Rd Ste 301
Johns Creek, GA 30022-4560
Phone
(561) 568-1770
NPI assigned
Nov 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Roopa Crawford
Title
Manager
Phone
(561) 568-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0802X Primary

Addresses

Primary practice location

11030 Jones Bridge Rd Ste 301
Johns Creek, GA 30022-4560

Mailing address

11030 Jones Bridge Rd Ste 301
Johns Creek, GA 30022-4560

Other practice location 1

11030 Jones Bridge Rd Ste 301
Johns Creek, GA 30022-4560
Phone (561) 568-1770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1396389185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 JONES BRIDGE RD STE 301",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300224560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 JONES BRIDGE RD STE 301",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300224560",
            "telephone_number": "561-568-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11030 Jones Bridge Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300224560",
            "country_code": "US",
            "telephone_number": "561-568-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEYSTONE PSYCHIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "ROOPA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-568-1770"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.