Organization Active NPI

Cherry Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Suwanee, GA
National Provider Identifier
1740053941
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CHERRY PSYCHIATRY LLC
Practice address
587 Arbour Way
Suwanee, GA 30024-3192
Phone
(347) 971-0243
NPI assigned
Oct 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Tina Clarke Cherry, PMHNP-BC
Title
Ceo
Phone
(347) 971-0243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

587 Arbour Way
Suwanee, GA 30024-3192

Mailing address

587 Arbour Way
Suwanee, GA 30024-3192
Phone (347) 971-0243

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1740053941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 ARBOUR WAY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243192",
            "telephone_number": "347-971-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 ARBOUR WAY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243192",
            "telephone_number": "347-971-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "CLARKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-971-0243",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.