Active NPI
Integrative Psychiatry Services
- Psychiatric/Mental Health Nurse Practitioner
- Covington, GA
National Provider Identifier
1508617176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- INTEGRATIVE PSYCHIATRY SERVICES
- Practice address
- 4136 Newton Dr NE
Covington, GA 30014-2521 - Phone
- (770) 569-3205
- NPI assigned
- Apr 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Hosten, PMHNP
- Title
- Owner
- Phone
- (678) 427-3147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4136 Newton Dr NE
Covington, GA 30014-2521
Mailing address
4136 Newton Dr NE
Covington, GA 30014-2521
Phone (770) 569-3205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4136 Newton Dr NE
Covington, GA 30014
Phone (770) 569-3205
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Covington, GA
- NPI 1083010961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711929600000",
"number": "1508617176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4136 NEWTON DR NE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142521",
"telephone_number": "770-569-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4136 NEWTON DR NE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142521",
"telephone_number": "770-569-3205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE PSYCHIATRY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-03-30",
"status": "A",
"authorized_official_last_name": "HOSTEN",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-427-3147",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.