Organization Active NPI

Buckhead Psychiatry Services, LLC

  • Psychiatry Physician
  • Lawrenceville, GA
National Provider Identifier
1821630245
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BUCKHEAD PSYCHIATRY SERVICES, LLC
Practice address
301 Gwinnett Dr
Lawrenceville, GA 30046-5669
Phone
(770) 778-2296
Fax
(678) 682-8747
NPI assigned
Oct 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Marianne Hashmi, RN
Title
Owner
Phone
(770) 778-2296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

301 Gwinnett Dr
Lawrenceville, GA 30046-5669

Mailing address

301 Gwinnett Dr
Lawrenceville, GA 30046-5669
Phone (770) 778-2296

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shds@psych-serv.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1821630245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GWINNETT DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465669",
            "telephone_number": "770-778-2296",
            "fax_number": "678-682-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GWINNETT DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465669",
            "telephone_number": "770-778-2296",
            "fax_number": "678-682-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD PSYCHIATRY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "HASHMI",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-778-2296",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shds@psych-serv.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "301 Gwinnett Dr",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300465669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.