New Directions Behavior Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NEW DIRECTIONS BEHAVIOR SERVICES LLC

Practice address

3883 Rogers Bridge Rd Ste 701
Duluth, GA 30097-2849

Phone

(678) 487-9150

Fax

(678) 788-7742

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Roshaundra Phifer, NPNPI 1326726431

Title

Psych Nurse Practitioner

Phone

(219) 973-1246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roshaundra C Phifer, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Duluth, GA
  • NPI 1326726431

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1699505453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 HUNTERHILL DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754214",
            "telephone_number": "219-973-1246",
            "fax_number": "678-788-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 ROGERS BRIDGE RD STE 701",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972849",
            "telephone_number": "678-487-9150",
            "fax_number": "678-788-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS BEHAVIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "PHIFER",
        "authorized_official_first_name": "ROSHAUNDRA",
        "authorized_official_title_or_position": "PSYCH NURSE PRACTITIONER",
        "authorized_official_telephone_number": "219-973-1246",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Duluth, GA
• Providers in Duluth, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.

Verify at the official NPI Registry.