Outreach Psychiatric Associates, LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

OUTREACH PSYCHIATRIC ASSOCIATES, LLC

Practice address

250 Constitution Blvd
Ste 203
Lawrenceville, GA 30046-8432

Phone

(770) 265-2772

Fax

(866) 876-7892

NPI assigned

Jul 12, 2011

Organization subpart

No

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

Authorized official

Name

Taren Lazzari, APRN, BC

Title

Vice President

Phone

(770) 265-2772

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1821386855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CONSTITUTION BLVD",
            "address_2": "STE 203",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468432",
            "telephone_number": "770-265-2772",
            "fax_number": "866-876-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CONSTITUTION BLVD",
            "address_2": "STE 203",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468432",
            "telephone_number": "770-265-2772",
            "fax_number": "866-876-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH PSYCHIATRIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "LAZZARI",
        "authorized_official_first_name": "TAREN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "770-265-2772",
        "authorized_official_credential": "APRN, BC"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Otieno, RN
• Ifeyinwa Doris Otiji
• Sidney Otiwu, PT, DPT
• Otlife and Cams Therapy LLC
• Gnimbin Albert Ouattara
• Jill J Overcash, M.D.
• Amanda Marie Overton, ACNP-BC
• Shaliyah Ovid
• Lawanda Owens, APC
• Marcelle M. Owens, M.D.

• Geriatric Medicine (Family Medicine) Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Geriatric Medicine (Family Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.