Organization Active NPI

Safe Place Atlanta

  • Peer Specialist
  • College Park, GA
National Provider Identifier
1558713479
Registry record updated Jul 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
SAFE PLACE ATLANTA
Practice address
6612 Pamplona PL
College Park, GA 30349-8491
Phone
(404) 431-7092
NPI assigned
Jul 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2016

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

Authorized official

Name
Dr. Pilar Kent, PH.D
Title
Ceo/Executive Director
Phone
(404) 431-7092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

6612 Pamplona PL
College Park, GA 30349-8491

Mailing address

6612 Pamplona PL
College Park, GA 30349-8491
Phone (404) 431-7092

Other names 1

  • Safe Place Atlanta Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467417600000",
    "number": "1558713479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 PAMPLONA PL",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303498491",
            "telephone_number": "404-431-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 PAMPLONA PL",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303498491",
            "telephone_number": "404-431-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE PLACE ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-02",
        "last_updated": "2016-07-02",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "PILAR",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-431-7092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Place Atlanta",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2016; 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.