Organization Active NPI

Colab Psychiatric Health Services LLC

  • Psychiatry Physician
  • McDonough, GA
National Provider Identifier
1770463135
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Patrick Chukwunonso Okeke, PMHNPNPI 1023717220
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20251016004829 GA Part B Supplier - Clinic/Group Practice 5496242950 Receives reassigned benefits from 1 practitioner
Practice locations: McDonough, GA

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.