NPIMap

Organization Active NPI

Adrian Janit Psychlsvcs LLC

  • Psychologist
  • Augusta, GA
National Provider Identifier
1598042111
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY003347 Issued in GA
Legal business name
ADRIAN JANIT PSYCHLSVCS LLC
Practice address
3730B Executive Center Dr
Augusta, GA 30907-2360
Phone
(706) 364-4599
Fax
(706) 364-4589
NPI assigned
Nov 10, 2011
Last updated
Nov 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Mrs. Sheree Meyers
Title
Office Manager
Phone
(706) 364-7165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY003347 GA Primary

Addresses

Primary practice location

3730B Executive Center Dr
Augusta, GA 30907-2360

Mailing address

3730B Executive Center Dr
Augusta, GA 30907-2360
Phone (706) 364-4599

Other identifiers 1

IdentifierTypeStateIssuer
478699634MedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Adrian Janit PHD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3730B Executive Center Dr
Augusta, GA 30907
Phone (706) 364-4599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1598042111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730B EXECUTIVE CENTER DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072360",
            "telephone_number": "706-364-4599",
            "fax_number": "706-364-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730B EXECUTIVE CENTER DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072360",
            "telephone_number": "706-364-4599",
            "fax_number": "706-364-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN JANIT PSYCHLSVCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-364-7165",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "478699634",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.