Shepherd's Hill Academy, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

OCCP001025 Issued in GA

Legal business name

SHEPHERD'S HILL ACADEMY, INC

Practice address

2200 Price Rd
Martin, GA 30557-3457

Phone

(706) 779-5736

Fax

(706) 779-5052

NPI assigned

Apr 20, 2012

Last updated

Apr 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Embry

Title

Assistant Director

Phone

(706) 779-5736

Specialties & licenses 1

Addresses

Tax ID family

Shepherd's Hill Academy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Shepherd's Hill Academy, Inc

  • Children's Substance Abuse Rehabilitation Facility
  • Martin, GA
  • NPI 1437519451
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria Nolen, LPC

  • Professional Counselor
  • Marietta, GA
  • NPI 1982116992
  NPD (past)

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1902163520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PRICE RD",
            "city": "MARTIN",
            "state": "GA",
            "postal_code": "305573457",
            "telephone_number": "706-779-5736",
            "fax_number": "706-779-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PRICE RD",
            "city": "MARTIN",
            "state": "GA",
            "postal_code": "305573457",
            "telephone_number": "706-779-5736",
            "fax_number": "706-779-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD'S HILL ACADEMY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "EMBRY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "706-779-5736",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "GA",
            "license": "OCCP001025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Morris, LPC
• Jaime Neill
• Vikki Paese
• Kimberly Petenbrink
• Shepherd's Hill Academy, Inc
• Whitley, LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Martin, GA
• Providers in Martin, GA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.