NPIMap

Organization Active NPI

Anxiety and Trauma Clinic of Atlanta

  • Adult Mental Health Clinic/Center
  • Atlanta, GA
National Provider Identifier
1437877495
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ANXIETY AND TRAUMA CLINIC OF ATLANTA
Practice address
1030 Grant St SE Ste 4
Atlanta, GA 30315-2015
Phone
(386) 479-2261
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Jessica Rose Morgan Goodnight, PHDNPI 1295203040
Title
Licensed Psychologist/Owner
Phone
(386) 479-2261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1030 Grant St SE Ste 4
Atlanta, GA 30315-2015

Mailing address

1030 Grant St SE Ste 4
Atlanta, GA 30315-2015
Phone (386) 479-2261

National Provider Directory

National Provider Directory

Locations

1030 Grant St SE
Ste 4
Atlanta, GA 30315
Phone (386) 479-2261

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1437877495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 GRANT ST SE STE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152015",
            "telephone_number": "386-479-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 GRANT ST SE STE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152015",
            "telephone_number": "386-479-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANXIETY AND TRAUMA CLINIC OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-09-06",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "GOODNIGHT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ROSE MORGAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "386-479-2261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Sep 6, 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.