Premier Psychiatric & Psychotherapy Consulting

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PREMIER PSYCHIATRIC & PSYCHOTHERAPY CONSULTING

Practice address

1430 Stephens Dr NE
Atlanta, GA 30329-3716

Phone

(404) 403-3326

NPI assigned

Nov 8, 2013

Last updated

Nov 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

Beth Botnick, NPNPI 1780676031

Title

Cfo

Phone

(404) 403-3326

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Premier Psychiatric and Psychotherapy Consulting LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Psychiatric and Psychotherapy Consulting, LLC

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1134565062
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beth S Botnick, NP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1780676031
  NPD Authorized official

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1790114841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 STEPHENS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293716",
            "telephone_number": "404-403-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 STEPHENS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293716",
            "telephone_number": "404-403-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PSYCHIATRIC & PSYCHOTHERAPY CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "BOTNICK",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-403-3326",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134565062",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "202G702342",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Eye Physicians PC
• Premier Health and Wellness Management, LLC (Premier Health and Wellness)
• Premier Image Cosmetic & Laser Surgery
• Premier Injury Specialist
• Premier Med Solutions LLC
• Premier Psychiatric and Medical Consultants
• Premier Psychiatric and Psychotherapy Consulting, LLC
• Premier Shockwave, Inc.
• Premier South Medical Group, P.C.
• Premier Surgical Pavilion of Atlanta LLC

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

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