Carnegie Behavioral Health Services, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

PSY002374 Issued in GA

Legal business name

CARNEGIE BEHAVIORAL HEALTH SERVICES, LLC

Practice address

175 Carnegie PL Ste 109
Fayetteville, GA 30214-7903

Phone

(770) 716-6012

Fax

(770) 716-6013

NPI assigned

Jul 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan D Hauser, PHD

Title

Member

Phone

(770) 716-6012

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1497911234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CARNEGIE PL STE 109",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147903",
            "telephone_number": "770-716-6012",
            "fax_number": "770-716-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CARNEGIE PL STE 109",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147903",
            "telephone_number": "770-716-6012",
            "fax_number": "770-716-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNEGIE BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "770-716-6012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": "PSY002374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000857095B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Care Medical Resources
• Care Medical Resources LLC
• Kathryn Cargile, OTR/L
• David J Carlson, CRNA
• Tracy Ann Carmichael, LPC
• Kimberly Napier Carney
• Casse Carpenter
• Molly Carpenter, M.S., BCBA
• Daniel Joseph Carr, MD
• Roger Carr, M.D.

• All providers in Fayetteville, GA
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.