Organization Active NPI

St. Marys Psychiatry, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Marys, GA
National Provider Identifier
1578839668
Registry record updated Mar 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
58799 Issued in GA
Legal business name
ST. MARYS PSYCHIATRY, INC.
Practice address
4445 Hwy 40
Suite 601
Saint Marys, GA 31558-4099
Phone
(912) 576-6800
NPI assigned
Mar 22, 2012
Last updated
Mar 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2012

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

Authorized official

Name
Dr. Ruxandra Mares, M.D.
Title
Psychiatrist
Phone
(912) 576-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 58799 GA Primary

Addresses

Primary practice location

4445 Hwy 40
Suite 601
Saint Marys, GA 31558-4099

Mailing address

4445 Hwy 40
Suite 601
Saint Marys, GA 31558-4099
Phone (912) 576-6800

National Provider Directory

National Provider Directory

Locations

4445 Highway 40
Ste 601
Saint Marys, GA 31558
Phone (912) 576-6800

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332547200000",
    "number": "1578839668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 HWY 40",
            "address_2": "SUITE 601",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584099",
            "telephone_number": "912-576-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 HWY 40",
            "address_2": "SUITE 601",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584099",
            "telephone_number": "912-576-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARYS PSYCHIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-24",
        "status": "A",
        "authorized_official_last_name": "MARES",
        "authorized_official_first_name": "RUXANDRA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "912-576-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "58799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; 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.