Active NPI
MB Behavioral Health Services
- Health Maintenance Organization
- Atlanta, GA
National Provider Identifier
1629322342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- MB BEHAVIORAL HEALTH SERVICES
- Practice address
- 233 Mitchell St SW
Suite 450
Atlanta, GA 30303-3304 - Phone
- (845) 597-4264
- NPI assigned
- Nov 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tiffany Jackson
- Title
- Owner
- Phone
- (845) 597-4264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
233 Mitchell St SW
Suite 450
Atlanta, GA 30303-3304
Mailing address
49 Hudson View Ter
Newburgh, NY 12550-3310
Phone (845) 597-4264
National Provider Directory
National Provider DirectoryLocations
233 Mitchell St SW
Ste 450
Atlanta, GA 30303
Phone (845) 597-4264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351814400000",
"number": "1629322342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 HUDSON VIEW TER",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503310",
"telephone_number": "845-597-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 MITCHELL ST SW",
"address_2": "SUITE 450",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033304",
"telephone_number": "845-597-4264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MB BEHAVIORAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-02",
"last_updated": "2012-11-02",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-597-4264",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.