Brian Keith Teliho, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042128 Issued in GA

Practice address

3975 Roswell Rd NE
Atlanta, GA 30342-4117

Phone

(404) 949-0344

Fax

(404) 949-0377

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maui Mind Care LLC

  • Adult Mental Health Clinic/Center
  • Kahului, HI
  • NPI 1255090924
  NPD Authorized official
• Peachtree Psychiatric Professionals PC

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1891822235
  NPD (past)
• Peachtree Psychiatric Professionals, PC

  • Professional Counselor
  • Atlanta, GA
  • NPI 1427170745
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720107972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 ROSWELL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424117",
            "telephone_number": "404-949-0344",
            "fax_number": "404-949-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 ROSWELL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424117",
            "telephone_number": "404-949-0344",
            "fax_number": "404-949-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELIHO",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "042128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Pittman Telaro, CST
• Telechiro LLC
• Telem Healthcare LLC
• Telemedicine Essentials of America, LLC
• Televisit MD
• Rosetta Tella, PMHNP
• Juan Carlos Tellez, MD
• Alexandra Tello, AA
• Luna Tello
• Tracey Lorena Tello, CSFA, ST

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.