Organization Active NPI

Georgia Mountain Psychological Associates Inc.

  • Counseling Psychologist
  • Clayton, GA
National Provider Identifier
1740893601
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
GEORGIA MOUNTAIN PSYCHOLOGICAL ASSOCIATES INC.
Practice address
851 Highway 441 S Ste 105
Clayton, GA 30525-5424
Phone
(706) 782-1237
Fax
(404) 393-0737
NPI assigned
Aug 28, 2020
Last updated
Dec 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Dr. Amanda Pileski, PHD
Title
Director
Phone
(706) 782-1237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU Primary

Addresses

Primary practice location

851 Highway 441 S Ste 105
Clayton, GA 30525-5424

Mailing address

851 Highway 441 S Ste 105
Clayton, GA 30525-5424
Phone (706) 782-1237

National Provider Directory

National Provider Directory

Locations

851 Highway 441 S
Ste 105
Clayton, GA 30525
Phone (404) 291-4018

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1740893601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 HIGHWAY 441 S STE 105",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305255424",
            "telephone_number": "706-782-1237",
            "fax_number": "404-393-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 HIGHWAY 441 S STE 105",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305255424",
            "telephone_number": "706-782-1237",
            "fax_number": "404-393-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA MOUNTAIN PSYCHOLOGICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "PILESKI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-782-1237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.