Active NPI
Strongtower Behavioral Healthcare LLC
- Psychiatry Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 64802
- Legal business name
- STRONGTOWER BEHAVIORAL HEALTHCARE LLC
- Doing business as
- Koolnight Insomnia and Sleep Services
- Practice address
- 3750 Palladian Village Dr
Suite 110 & 120
Marietta, GA 30066-8200 - Phone
- (678) 265-8361
- Fax
- (678) 265-8362
- NPI assigned
- Jun 27, 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
- Dr. Opeoluwa Olabisi Akinnusi, MD
- Title
- Ceo
- Phone
- (678) 218-9586
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 064741 | GA | |
| Psychiatry Physician | 2084P0800X | 64802 | GA | Primary |
Addresses
Primary practice location
3750 Palladian Village Dr
Suite 110 & 120
Marietta, GA 30066-8200
Mailing address
3750 Palladian Village Dr
Suite 110 & 120
Marietta, GA 30066-8200
Phone (678) 265-8361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64802 | Other | GA | MEDICAL LICENCE NUMBER |
Other names 1
- Koolnight Insomnia and Sleep Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3750 Palladian Village Dr
Ste 110
Marietta, GA 30066
Phone (678) 265-8361
2617 Sandy Plains Rd
Ste C
Marietta, GA 30066
Phone (678) 265-8361
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DFFFBD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Marietta, GA
- NPI 1770731713
Single Specialty
-
- Clinical Social Worker
- Marietta, GA
- NPI 1306216775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420416000000",
"number": "1689938326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 PALLADIAN VILLAGE DR",
"address_2": "SUITE 110 & 120",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300668200",
"telephone_number": "678-265-8361",
"fax_number": "678-265-8362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 PALLADIAN VILLAGE DR",
"address_2": "SUITE 110 & 120",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300668200",
"telephone_number": "678-265-8361",
"fax_number": "678-265-8362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRONGTOWER BEHAVIORAL HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-27",
"last_updated": "2015-01-05",
"status": "A",
"authorized_official_last_name": "AKINNUSI",
"authorized_official_first_name": "OPEOLUWA",
"authorized_official_middle_name": "OLABISI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-218-9586",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "GA",
"license": "064741",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "64802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENCE NUMBER",
"identifier": "64802",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Koolnight Insomnia and Sleep Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.