Organization Active NPI

Road to Recovery Neuropsychology

  • Adult Mental Health Clinic/Center
  • Norcross, GA
National Provider Identifier
1407620651
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ROAD TO RECOVERY NEUROPSYCHOLOGY
Practice address
6131 S Norcross Tucker Rd Ste 6
Norcross, GA 30093-5536
Phone
(833) 647-7924
NPI assigned
Nov 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Mr. Thomas Vincent Moore Jr.
Title
Owner
Phone
(404) 884-3321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

6131 S Norcross Tucker Rd Ste 6
Norcross, GA 30093-5536

Mailing address

6131 S Norcross Tucker Rd Ste 6
Norcross, GA 30093-5536
Phone (833) 647-7924

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1407620651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 S NORCROSS TUCKER RD STE 6",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935536",
            "telephone_number": "833-647-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 S NORCROSS TUCKER RD STE 6",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935536",
            "telephone_number": "833-647-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD TO RECOVERY NEUROPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-884-3321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.