Global Matrix International Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GLOBAL MATRIX INTERNATIONAL INC.

Doing business as

Global Impact Solutions

Practice address

6030 Hwy 85 Ste 202-4
Riverdale, GA 30274

Phone

(678) 596-0320

NPI assigned

Oct 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mario Lancaster Kimball, M-DIV

Title

Ceo

Phone

(678) 596-0320

Specialties & licenses 1

Addresses

Other names 1

• Global Impact Solutions Doing business as

Locations

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1407131097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 HIGHWAY 85 STE 202-4",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741529",
            "telephone_number": "678-596-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 HWY 85 STE 202-4",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "30274",
            "telephone_number": "678-596-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL MATRIX INTERNATIONAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "LANCASTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-596-0320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M-DIV"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Global Impact Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Community/Behavioral Health Agency in Georgia

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