Organization Active NPI

Novo Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • Marietta, GA
National Provider Identifier
1730676776
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NOVO PSYCHOTHERAPY, LLC
Practice address
1225 Johnson Ferry Rd Ste 170
Marietta, GA 30068-2727
Phone
(770) 847-0358
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Shubha Swamy, LPCNPI 1720120058
Title
Owner
Phone
(770) 847-0358

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1225 Johnson Ferry Rd Ste 170
Marietta, GA 30068-2727

Mailing address

1225 Johnson Ferry Rd Ste 170
Marietta, GA 30068-2727
Phone (770) 847-0358

National Provider Directory

National Provider Directory

Locations

1225 Johnson Ferry Rd
Ste 170
Marietta, GA 30068
Phone (404) 822-1026

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1730676776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 JOHNSON FERRY RD STE 170",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682727",
            "telephone_number": "770-847-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 JOHNSON FERRY RD STE 170",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682727",
            "telephone_number": "770-847-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVO PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "SWAMY",
        "authorized_official_first_name": "SHUBHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-847-0358",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Apr 16, 2018; 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.