NPIMap

Organization Active NPI

Jyw Health LLC

  • Adult Mental Health Clinic/Center
  • Marietta, GA
National Provider Identifier
1710304076
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
69672 Issued in GA
Legal business name
JYW HEALTH LLC
Practice address
1640 Powers Ferry Rd SE
Building 9, Suite 330
Marietta, GA 30067-5491
Phone
(770) 953-0080
Fax
(770) 953-0031
NPI assigned
Mar 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Dr. Joanna Yijiang Wong, M.D.
Title
President
Phone
(678) 498-8638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 69672 GA Primary

Addresses

Primary practice location

1640 Powers Ferry Rd SE
Building 9, Suite 330
Marietta, GA 30067-5491

Mailing address

585 Lullingstone Dr SE
Marietta, GA 30067-2716
Phone (678) 498-8638

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1710304076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 LULLINGSTONE DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300672716",
            "telephone_number": "678-498-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE",
            "address_2": "BUILDING 9, SUITE 330",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "770-953-0080",
            "fax_number": "770-953-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYW HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "YIJIANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-498-8638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "69672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 25, 2014; 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.