Dunwoody Psychiatry and Psychotherapy Center

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

022660 Issued in GA

Legal business name

DUNWOODY PSYCHIATRY AND PSYCHOTHERAPY CENTER

Practice address

2150 Peachford Rd Ste V
Atlanta, GA 30338-6539

Phone

(770) 674-1540

Fax

(770) 674-1765

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael Roy Vaughn, M.D.NPI 1598889420

Title

President

Phone

(404) 409-9743

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Roy Vaughn, M.D.

  • Addiction Psychiatry Physician
  • Decatur, GA
  • NPI 1598889420
  Medicare reassignment NPD Authorized official
• Sanaz Rezaei, LPC

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1144614736
  NPD (past)

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1750747812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD STE V",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386539",
            "telephone_number": "770-674-1540",
            "fax_number": "770-674-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD STE V",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386539",
            "telephone_number": "770-674-1540",
            "fax_number": "770-674-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNWOODY PSYCHIATRY AND PSYCHOTHERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-409-9743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "022660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dunwoody Mental Health Center
• Dunwoody Northeast Dentistry, LLC
• Dunwoody Operating Company LLC
• Dunwoody Park Family Dentistry
• Dunwoody Physician Practice Network Inc
• Dunwoody Recovery Place LLC
• Dunwoody Women'S Medical Group, L.L.C.
• Kingsley Dunwoody, PAA
• Hieu Q Duong
• Phung Kim Duong, BCBA

• Adult Mental Health Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.