Organization Active NPI

Skytherapist Inc

  • Psychologist
  • Peachtree Corners, GA
National Provider Identifier
1942728944
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SKYTHERAPIST INC
Practice address
6063 Peachtree Pkwy Ste 101B
Peachtree Corners, GA 30092-3302
Phone
(404) 946-1800
Fax
(323) 363-1286
NPI assigned
Aug 30, 2017
Last updated
Mar 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Mr. Keith Jones
Title
Ceo
Phone
(404) 579-9167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

6063 Peachtree Pkwy Ste 101B
Peachtree Corners, GA 30092-3302

Mailing address

4480 S Cobb Dr SE
Smyrna, GA 30080-6990
Phone (404) 579-9167

National Provider Directory

National Provider Directory

Locations

6063 Peachtree Pkwy
Ste 101B
Peachtree Corners, GA 30092
Phone (404) 946-1800

4480 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 434-8560

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1942728944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806990",
            "telephone_number": "404-579-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 PEACHTREE PKWY STE 101B",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923302",
            "telephone_number": "404-946-1800",
            "fax_number": "323-363-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYTHERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-579-9167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.