Carolina Child Psychiatric Services, PA

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

2005-01663 Issued in NC

Legal business name

CAROLINA CHILD PSYCHIATRIC SERVICES, PA

Doing business as

New Garden Psychiatry

Practice address

2016 New Garden Rd Ste C
Greensboro, NC 27410-2502

Phone

(336) 541-8111

Fax

(855) 427-6593

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Janardhana Jonnalagadda, MDNPI 1053351015

Title

Owner

Phone

(336) 541-8111

Specialties & licenses 1

Addresses

Other names 1

• New Garden Psychiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Janardhana Rao Jonnalagadda, M.D.

  • Psychiatry Physician
  • Greensboro, NC
  • NPI 1053351015
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1598149114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 NEW GARDEN RD STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102502",
            "telephone_number": "336-541-8111",
            "fax_number": "855-427-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 NEW GARDEN RD STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102502",
            "telephone_number": "336-541-8111",
            "fax_number": "855-427-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CHILD PSYCHIATRIC SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "JONNALAGADDA",
        "authorized_official_first_name": "JANARDHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-541-8111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "2005-01663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Garden Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Anesthesia and Pain Care PLLC
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• Carolina Behavioral Care, PA
• Carolina Bone & Joint PA
• Carolina Care, LLC
• Carolina Children's Eye Care, PA
• Carolina Chiropractic Center P a
• Carolina Community Behavioral Services LLC
• Carolina Community Consultants, PLLC (Kenneth J. Headen, MD)
• Carolina Dermatology Center

• Adult Mental Health Clinic/Center in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.

Verify at the official NPI Registry.