Psychcare

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

057154 Issued in GA

Legal business name

PSYCHCARE

Practice address

485 Huntington Rd
Suite 201
Athens, GA 30606-1861

Phone

(706) 613-3307

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lourdes Jeannette Chahin, MD

Title

Owner

Phone

(706) 201-2985

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1508086729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD",
            "address_2": "SUITE 199",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-613-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD",
            "address_2": "SUITE 201",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061861",
            "telephone_number": "706-613-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "CHAHIN",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "JEANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-201-2985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "057154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900480495B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900480495A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psych-Health P.C.
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• PT Solutions of Acworth, LLC
• Public Medical Equipment Company
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• Publix Super Markets Inc

• Child & Adolescent Psychiatry Physician in Athens, GA
• Providers in Athens, GA by specialty
• Child & Adolescent Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.