Organization Active NPI

Swarnalatha Inderjith.MD.PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Acworth, GA
National Provider Identifier
1437346384
Registry record updated Sep 25, 2007
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
SWARNALATHA INDERJITH.MD.PC
Practice address
2365 Highway 92
#110
Acworth, GA 30102-7712
Phone
(770) 917-1050
Fax
(770) 917-0301
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Swarnalatha Inderjith, M.D
Title
President
Phone
(770) 917-1050

Specialties & licenses 1

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

Addresses

Primary practice location

2365 Highway 92
#110
Acworth, GA 30102-7712

Mailing address

PO Box 1192
Woodstock, GA 30188-1192
Phone (770) 917-1050

Other names 1

  • TRICOUNTY BEHAVIORAL HEALTH CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

2365 Highway 92
Ste 110
Acworth, GA 30102
Phone (770) 917-1050

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1437346384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1192",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881192",
            "telephone_number": "770-917-1050",
            "fax_number": "770-917-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 HIGHWAY 92",
            "address_2": "#110",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301027712",
            "telephone_number": "770-917-1050",
            "fax_number": "770-917-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWARNALATHA INDERJITH.MD.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "INDERJITH",
        "authorized_official_first_name": "SWARNALATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-917-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRICOUNTY BEHAVIORAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.