NPIMap

Organization Active NPI

Ogeechee Behavioral Health Services

  • Community/Behavioral Health Agency
  • Millen, GA
National Provider Identifier
1689904153
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OGEECHEE BEHAVIORAL HEALTH SERVICES
Practice address
1202 Old Sylvania Rd
Millen, GA 30442-6758
Phone
(478) 982-5954
NPI assigned
Jan 6, 2010
Last updated
Jan 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Victoria Richbourg, LPC
Title
Executive Director
Phone
(478) 289-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1202 Old Sylvania Rd
Millen, GA 30442-6758

Mailing address

223 N Anderson Dr
P O Box 1259
Swainsboro, GA 30401-4440

Other identifiers 1

IdentifierTypeStateIssuer
000709288RMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Ogeechee Behavioral Health Services20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1689904153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N ANDERSON DR",
            "address_2": "P O BOX 1259",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304014440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 OLD SYLVANIA RD",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304426758",
            "telephone_number": "478-982-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGEECHEE BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "RICHBOURG",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "478-289-2522",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000709288R",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.