Organization Active NPI

Csi Behavioral Company LLC

  • Community/Behavioral Health Agency
  • Dublin, GA
National Provider Identifier
1821223074
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CSI BEHAVIORAL COMPANY LLC
Practice address
1528 Telfair St
Dublin, GA 31021-3908
Phone
(478) 304-1244
Fax
(478) 304-1254
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Vangela Jawan Hines
Title
Ceo/Owner
Phone
(478) 278-6979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1528 Telfair St
Dublin, GA 31021-3908

Mailing address

1528 Telfair St
Dublin, GA 31021-3908
Phone (478) 304-1244

Other identifiers 1

IdentifierTypeStateIssuer
827333708AMedicaidGA

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": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1821223074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 TELFAIR ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213908",
            "telephone_number": "478-304-1244",
            "fax_number": "478-304-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 TELFAIR ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213908",
            "telephone_number": "478-304-1244",
            "fax_number": "478-304-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSI BEHAVIORAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "VANGELA",
        "authorized_official_middle_name": "JAWAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "478-278-6979"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "827333708A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.