NPIMap

Organization Active NPI

Summitridge Ctr for Psychiatry & Addiction Medicine

  • Psychiatric Hospital
  • Lawrenceville, GA
National Provider Identifier
1881884898
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
CSW002020 Issued in GA
Legal business name
SUMMITRIDGE CTR FOR PSYCHIATRY & ADDICTION MEDICINE
Practice address
250 Scenic Hwy
Lawrenceville, GA 30045-5675
Phone
(678) 312-5851
Fax
(678) 312-5915
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Ms. Margaret Collier
Title
Administrator
Phone
(678) 312-5902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X CSW002020 GA Primary

Addresses

Primary practice location

250 Scenic Hwy
Lawrenceville, GA 30045-5675

Mailing address

250 Scenic Hwy
Lawrenceville, GA 30045-5675
Phone (678) 312-5851

Other names 1

  • Gwinnett Medical Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Gwinnett Medical Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1881884898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455675",
            "telephone_number": "678-312-5851",
            "fax_number": "678-312-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455675",
            "telephone_number": "678-312-5851",
            "fax_number": "678-312-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMITRIDGE CTR FOR PSYCHIATRY & ADDICTION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-312-5902",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "GA",
            "license": "CSW002020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gwinnett Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 26, 2007; 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.