Christian Counseling and Psychological Services, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1438 Issued in GA

Legal business name

CHRISTIAN COUNSELING AND PSYCHOLOGICAL SERVICES, INC

Doing business as

Atlanta Forensic & Mental Health Institute

Practice address

2910 Horizon Park Dr Ste a
Suwanee, GA 30024-7256

Phone

(770) 271-8989

NPI assigned

Mar 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Reasoner, PHD

Title

Psychologist President

Phone

(770) 271-8989

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atlanta Forensic & Mental Health Institute Doing business as

Locations

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619091519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 HORIZON PARK DR STE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247256",
            "telephone_number": "770-271-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 HORIZON PARK DR STE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247256",
            "telephone_number": "770-271-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING AND PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REASONER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PSYCHOLOGIST   PRESIDENT",
        "authorized_official_telephone_number": "770-271-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "1438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00479938A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Forensic & Mental Health Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mansural Choudhury, PHARM.D
• Tarang Choxi, D.M.D
• Madeline Diane Chrestman, LCSW
• Chris Marvel LLC
• Christian Counseling and Psychological Services
• Christopher Wei LLC
• Amanda Gail Chung, MS, CCC-SLP
• Emily Chung, FNP-C
• Hyunjae Chung, DPT
• Richard Young Shin Chung, O.M.D

• Psychologist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.