Organization Active NPI

Northrise Psychiatric and Addiction Medicine

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
National Provider Identifier
1952073900
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTHRISE PSYCHIATRIC AND ADDICTION MEDICINE
Practice address
105 Westpark Dr Ste a
Athens, GA 30606-3174
Phone
(706) 850-0741
NPI assigned
Sep 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Dr. Janet Salimonu, DNP
Title
Co-Owner
Phone
(404) 819-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

105 Westpark Dr Ste a
Athens, GA 30606-3174

Mailing address

105 Westpark Dr Ste a
Athens, GA 30606-3174
Phone (706) 850-0741

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL northrisepsychiatric.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1952073900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WESTPARK DR STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063174",
            "telephone_number": "706-850-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WESTPARK DR STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063174",
            "telephone_number": "706-850-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRISE PSYCHIATRIC AND ADDICTION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "SALIMONU",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "404-819-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "northrisepsychiatric.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Westpark Dr Ste A",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306063174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.