Haven Healthcare Group LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HAVEN HEALTHCARE GROUP LLC

Practice address

845 Spring St NW
Atlanta, GA 30308-1040

Phone

(423) 534-9855

NPI assigned

Sep 21, 2023

Last updated

Sep 21, 2023By 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

Jordan Lea Goad

Title

FNP-Pmhnp

Phone

(423) 534-9855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1942088703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 SPRING ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SPRING ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081040",
            "telephone_number": "423-534-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "GOAD",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "FNP-PMHNP",
        "authorized_official_telephone_number": "423-534-9855"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ashley Hauserman, CPNP
• Julie Hilsman Hausner, RN, MSN, NP-C
• Diogo C. Haussen, MD
• Haven Eeoi Holdings LLC (Haven Home Health Care)
• Haven Grace Transportation LLC
• Haven Postnatal Retreat Incorporated
• Haven Psychiatry, LLC
• Brandon Haverfield, MPAS, PA-C
• Fiona Havers I, MD
• Keith F Haviland, MD

• Psychiatric/Mental Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.