Active NPI
Colab Psychiatric Health Services LLC
- Psychiatry Physician
- McDonough, GA
National Provider Identifier
1770463135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- COLAB PSYCHIATRIC HEALTH SERVICES LLC
- Practice address
- 604 Brubeck Way
McDonough, GA 30252-7229 - Phone
- (678) 698-2891
- NPI assigned
- Sep 5, 2025
- 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
- Patrick Chukwunonso Okeke, PMHNP
- Title
- Director
- Phone
- (678) 698-2891
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
604 Brubeck Way
McDonough, GA 30252-7229
Mailing address
604 Brubeck Way
McDonough, GA 30252-7229
Phone (678) 698-2891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1770463135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 BRUBECK WAY",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302527229",
"telephone_number": "678-698-2891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 BRUBECK WAY",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302527229",
"telephone_number": "678-698-2891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLAB PSYCHIATRIC HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-05",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A",
"authorized_official_last_name": "OKEKE",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "CHUKWUNONSO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "678-698-2891",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.