NPIMap

Organization Active NPI

Uhs of Savannah, LLC

Doing business as Coastal Harbor Treatment Center

  • Psychiatry Physician
  • Savannah, GA
National Provider Identifier
1891246757
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
025618 Issued in GA
Legal business name
UHS OF SAVANNAH, LLC
Doing business as
Coastal Harbor Treatment Center
Practice address
1150 Cornell Ave
Savannah, GA 31406-2702
Phone
(912) 354-3911
Fax
(912) 355-1336
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Mrs. Sally Perry, CEO
Title
Ceo
Phone
(912) 354-3911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 025618 GA Primary

Addresses

Primary practice location

1150 Cornell Ave
Savannah, GA 31406-2702

Mailing address

1150 Cornell Ave
Savannah, GA 31406-2702
Phone (912) 354-3911

Other names 1

  • Coastal Harbor Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Uhs of Savannah LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1891246757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 CORNELL AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062702",
            "telephone_number": "912-354-3911",
            "fax_number": "912-355-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CORNELL AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062702",
            "telephone_number": "912-354-3911",
            "fax_number": "912-355-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF SAVANNAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-354-3911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "025618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Harbor Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.