Active NPI
Overflowing Health Behavioral LLC
- Psychiatry Physician
- Macon, GA
National Provider Identifier
1750151767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
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.