United Psychology Center, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

UNITED PSYCHOLOGY CENTER, LLC

Doing business as

Northeast Georgia Clinic

Practice address

166 Commerce Pkwy Unit a
Cornelia, GA 30531-5473

Phone

(404) 806-4524

Fax

(770) 212-2203

NPI assigned

Aug 2, 2021

Organization subpart

No

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

Authorized official

Name

Linda Lue

Title

Cfo

Phone

(770) 939-1288

Specialties & licenses 2

Addresses

Other names 1

• NORTHEAST GEORGIA CLINIC Doing business as

Locations

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1982377206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD BLDG 16",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414148",
            "telephone_number": "770-939-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 COMMERCE PKWY UNIT A",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315473",
            "telephone_number": "404-806-4524",
            "fax_number": "770-212-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PSYCHOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "LUE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-939-1288"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHEAST GEORGIA CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tims Pharmacy Inc (Tims Pharmacy)
• Tims Pharmacy Inc (Tim's Pharmacy LTC)
• Town Central Insurance
• Town Central Insurance
• Neonia Lynn Townley, FNP-BC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1403)
• Wal-Mart Stores East, LP.
• Walgreen Co (Walgreens #19973)
• Shaneka Ware
• Franklin Wolf, LMT

• Psychiatry Physician in Cornelia, GA
• Providers in Cornelia, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.