Psycare, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

056712 Issued in GA

Legal business name

PSYCARE, LLC

Practice address

807 N Tennessee St
Suite 102
Cartersville, GA 30120-2895

Phone

(678) 632-5787

Fax

(404) 758-3497

NPI assigned

Feb 18, 2012

Last updated

Feb 18, 2012By 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. Ginari Rene Price, MD

Title

Owner

Phone

(216) 630-0716

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1329523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329523200000",
    "number": "1639442841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 AMHURST DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185949",
            "telephone_number": "216-630-0716",
            "fax_number": "404-758-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N TENNESSEE ST",
            "address_2": "SUITE 102",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202895",
            "telephone_number": "678-632-5787",
            "fax_number": "404-758-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-18",
        "last_updated": "2012-02-18",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "GINARI",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-630-0716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "GA",
            "license": "056712",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "056712",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": "056712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Priestley, MSN, APRN, FNP-C
• Proclaim Home Care, Inc
• Proctor Clinic PC
• Jeffrey G Proctor, M.D.
• Prohealth Home Health-Georgia, LLC (ProHealth Home Health)
• Psychiatric Health Specialists LLC
• Psychology and Counseling Centers PC
• PT Solutions of Acworth
• PT Solutions of Acworth LLC
• PT Solutions of Acworth, LLC

• Adolescent and Children Mental Health Clinic/Center in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.