Sozo Psychiatric Professional Services LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

68148 Issued in GA

Legal business name

SOZO PSYCHIATRIC PROFESSIONAL SERVICES LLC

Practice address

1 Technology Pkwy S
Norcross, GA 30092-2928

Phone

(678) 713-2600

NPI assigned

Dec 8, 2013

Last updated

Dec 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Syed Amjad Imam, M.D

Title

Ceo

Phone

(770) 881-8495

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386460800000",
    "number": "1750712386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960018",
            "telephone_number": "770-881-8495",
            "fax_number": "770-237-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TECHNOLOGY PKWY S",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922928",
            "telephone_number": "678-713-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOZO PSYCHIATRIC PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-08",
        "last_updated": "2013-12-08",
        "status": "A",
        "authorized_official_last_name": "IMAM",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "AMJAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-881-8495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "GA",
            "license": "68148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Hospital in Norcross, GA
• Providers in Norcross, GA by specialty
• Psychiatric Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2013; 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.