NPIMap

Organization Active NPI

Georgia Assessment and Therapy Enterprises LLC

  • Clinical Psychologist
  • Griffin, GA
National Provider Identifier
1508601733
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GEORGIA ASSESSMENT AND THERAPY ENTERPRISES LLC
Practice address
220 W College St Ste C
Griffin, GA 30224-4250
Phone
(470) 743-8264
Fax
(770) 228-8397
NPI assigned
Jun 28, 2024
Organization subpart
No

Practitioners 5

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

National Provider Directory

National Provider Directory

Locations

220 W College St
Ste C
Griffin, GA 30224
Phone (470) 743-8264

245 Meriwether St
Griffin, GA 30224

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Michael Morgan, PHDNPI 1376288225
Title
Owner
Phone
(470) 743-8264

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

220 W College St Ste C
Griffin, GA 30224-4250

Mailing address

245 Meriwether St
Griffin, GA 30224-3010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2024.

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1508601733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MERIWETHER ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W COLLEGE ST STE C",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244250",
            "telephone_number": "470-743-8264",
            "fax_number": "770-228-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA ASSESSMENT AND THERAPY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-743-8264",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.