Mark F Brechtel PHD PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PSY002805 Issued in GA

Legal business name

MARK F BRECHTEL PHD PC

Practice address

1 Huntington Rd
Ste 103
Athens, GA 30606-7204

Phone

(706) 369-0970

NPI assigned

Jul 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark F Brechtel, PHD

Title

President

Phone

(706) 372-6199

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1246752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1629207204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 SAWDUST TRL",
            "city": "NICHOLSON",
            "state": "GA",
            "postal_code": "305653097",
            "telephone_number": "706-372-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "STE 103",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067204",
            "telephone_number": "706-369-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK F BRECHTEL PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-05",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "BRECHTEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-372-6199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "PSY002805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICIAN NPI",
            "identifier": "1932215845",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "68BBGLB",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750409758A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "1162893",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Marburger
• Christopher A March, M.D.
• Karrington Marcotte, RN
• Kathy C Margrave, CRNA
• Mark Braunstein Psychiatric Group at Stillwell PC
• Mark H. Blankenship, D.M.D.,PC
• Mark Lynn O.D. & Associates, P.C.
• Mary J Marlin, RN
• Colby Marlow, PA
• Stephen Rick Marquess, ATC

• Adult Mental Health Clinic/Center in Athens, GA
• Providers in Athens, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.