Organization Active NPI

Atlantacare Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Roswell, GA
National Provider Identifier
1952544306
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PENDING Issued in GA
Legal business name
ATLANTACARE BEHAVIORAL HEALTH, LLC
Practice address
205 Sherwood Pass
Suite 100
Roswell, GA 30075-6861
Phone
(609) 704-5383
Fax
(609) 561-0678
NPI assigned
Apr 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Prajakta Harshe, LPC, LCADC
Title
Ceo
Phone
(609) 704-5383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PENDING GA Primary

Addresses

Primary practice location

205 Sherwood Pass
Suite 100
Roswell, GA 30075-6861

Mailing address

820 S White Horse Pike
Suite 2-B
Hammonton, NJ 08037-2009
Phone (609) 704-5383

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1952544306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S WHITE HORSE PIKE",
            "address_2": "SUITE 2-B",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372009",
            "telephone_number": "609-704-5383",
            "fax_number": "609-561-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SHERWOOD PASS",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756861",
            "telephone_number": "609-704-5383",
            "fax_number": "609-561-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTACARE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "HARSHE",
        "authorized_official_first_name": "PRAJAKTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-704-5383",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.