Organization Active NPI

Christine J Page Institute Corp

  • Community/Behavioral Health Agency
  • Canton, GA
National Provider Identifier
1821709981
Registry record updated Dec 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHRISTINE J PAGE INSTITUTE CORP
Practice address
2205 Riverstone Blvd Ste 251
Canton, GA 30114-5254
Phone
(770) 899-0648
Fax
(866) 520-0401
NPI assigned
Dec 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2023

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

Authorized official

Name
Christine Jean Page, PHDNPI 1356691299
Title
Owner/Ceo
Phone
(770) 899-0648

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2205 Riverstone Blvd Ste 251
Canton, GA 30114-5254

Mailing address

2205 Riverstone Blvd Ste 251
Canton, GA 30114-5254
Phone (770) 897-6327

Other practice location 1

1800 Water Pl SE Ste 240
Atlanta, GA 30339-2095
Phone (770) 899-0648

Other practice location 2

1854 Caswell Pkwy
Marietta, GA 30060-9264
Phone (770) 899-0648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240108005562 GA Part B Supplier - Clinic/Group Practice 0244681831 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA; Canton, GA

National Provider Directory

National Provider Directory

Locations

2205 Riverstone Blvd
Ste 251
Canton, GA 30114
Phone (770) 897-6327

Practitioners & affiliated clinicians

Practitioners 2

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": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701561600000",
    "number": "1821709981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 RIVERSTONE BLVD STE 251",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145254",
            "telephone_number": "770-897-6327",
            "fax_number": "866-520-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 RIVERSTONE BLVD STE 251",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145254",
            "telephone_number": "770-899-0648",
            "fax_number": "866-520-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Water Pl SE Ste 240",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303392095",
            "country_code": "US",
            "telephone_number": "770-899-0648",
            "fax_number": "866-520-0401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1854 Caswell Pkwy",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300609264",
            "country_code": "US",
            "telephone_number": "770-899-0648",
            "fax_number": "866-520-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTINE J PAGE INSTITUTE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "770-899-0648",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; 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.