NPIMap

Organization Active NPI

Crew Street Community Integration Home

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Atlanta, GA
National Provider Identifier
1437375672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
044232 Issued in GA
Legal business name
CREW STREET COMMUNITY INTEGRATION HOME
Practice address
885 Crew St SW
Atlanta, GA 30315-1540
Phone
(404) 586-9260
NPI assigned
Apr 17, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ralph Salandy
Title
Manager
Phone
(404) 819-0901

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

National Provider Directory

National Provider Directory
Tax ID family
Roosevelt Warm SGP Inst (74 organizations share this tax ID)

Locations

885 Crew St SW
Atlanta, GA 30315
Phone (404) 586-9260

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 044232 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

885 Crew St SW
Atlanta, GA 30315-1540

Mailing address

885 Crew St SW
Atlanta, GA 30315-1540
Phone (404) 586-9260

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437375672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 CREW ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303151540",
            "telephone_number": "404-586-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 CREW ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303151540",
            "telephone_number": "404-586-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREW STREET COMMUNITY INTEGRATION HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALANDY",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-819-0901"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "044232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.