NPIMap

Organization Active NPI

Institute for Clarity

  • Psychologist
  • Roswell, GA
National Provider Identifier
1831504349
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY001816 Issued in GA
Legal business name
INSTITUTE FOR CLARITY
Practice address
11205 Alpharetta Highway
Suite A5
Roswell, GA 30076
Phone
(770) 667-8992
Fax
(770) 667-8992
NPI assigned
Jun 23, 2014
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Pati Beaudoin
Title
Psychologist
Phone
(770) 667-8992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY001816 GA Primary

Addresses

Primary practice location

11205 Alpharetta Highway
Suite A5
Roswell, GA 30076

Mailing address

11205 Alpharetta Highway
Suite A5
Roswell, GA 30076
Phone (770) 667-8992

National Provider Directory

National Provider Directory

Locations

11205 Alpharetta Hwy
Ste A5
Roswell, GA 30076
Phone (770) 667-8992

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1831504349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 ALPHARETTA HIGHWAY",
            "address_2": "SUITE A5",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "770-667-8992",
            "fax_number": "770-667-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 ALPHARETTA HIGHWAY",
            "address_2": "SUITE A5",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "770-667-8992",
            "fax_number": "770-667-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR CLARITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BEAUDOIN",
        "authorized_official_first_name": "PATI",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "770-667-8992"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY001816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.