Organization Active NPI

Child Psychiatric and Drug Abuse Associates

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Atlanta, GA
National Provider Identifier
1720293111
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
CHILD PSYCHIATRIC AND DRUG ABUSE ASSOCIATES
Practice address
627 Old Ivy Rd NE
Atlanta, GA 30342-4319
Phone
(404) 583-9819
Fax
(000) 000-0000
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Todd Wilk Estroff, MD
Title
President
Phone
(404) 583-9819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P2900X Primary

Addresses

Primary practice location

627 Old Ivy Rd NE
Atlanta, GA 30342-4319

Mailing address

627 Old Ivy Rd NE
Atlanta, GA 30342-4319
Phone (404) 583-9819

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720293111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 OLD IVY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424319",
            "telephone_number": "404-583-9819",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 OLD IVY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424319",
            "telephone_number": "404-583-9819",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD PSYCHIATRIC AND DRUG ABUSE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESTROFF",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "WILK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-583-9819",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.