Peachtree Family Psychiatry Clinic

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

49237 Issued in GA

Legal business name

PEACHTREE FAMILY PSYCHIATRY CLINIC

Practice address

1720 Peachtree St NW Ste 320
Atlanta, GA 30309-2447

Phone

(404) 249-8496

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Yassar Kanawati, M.D.NPI 1396833638

Title

Psychiatrist

Phone

(770) 380-0635

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Yassar Jomah Kanawati, M.D.

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1396833638
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1487059564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 PEACHTREE ST NW",
            "address_2": "SUITE 310 NORTH",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092307",
            "telephone_number": "404-249-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW STE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092447",
            "telephone_number": "404-249-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE FAMILY PSYCHIATRY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "KANAWATI",
        "authorized_official_first_name": "YASSAR",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "770-380-0635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "GA",
            "license": "49237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prescribing (Medical) Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Prescribing (Medical) Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.