Organization Active NPI

Overflowing Health Behavioral LLC

  • Psychiatry Physician
  • Macon, GA
National Provider Identifier
1750151767
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OVERFLOWING HEALTH BEHAVIORAL LLC
Practice address
461 3Rd St Ste 13
Macon, GA 31201-3358
Phone
(478) 227-4754
NPI assigned
Jan 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Riuyinosa Elema
Title
Officer
Phone
(478) 227-4754

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

461 3Rd St Ste 13
Macon, GA 31201-3358

Mailing address

461 3Rd St Ste 13
Macon, GA 31201-3358

National Provider Directory

National Provider Directory

Locations

461 3rd St
Ste 13
Macon, GA 31201
Phone (478) 227-4754

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1750151767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 3RD ST STE 13",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 3RD ST STE 13",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013358",
            "telephone_number": "478-227-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERFLOWING HEALTH BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "ELEMA",
        "authorized_official_first_name": "RIUYINOSA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "478-227-4754"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.