DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (NPI# 1124254941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124254941 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES |
| Practice Address |
3073 Panthersville Rd Decatur GA 30034-3828 |
| Mailing Address |
Po Box 370407 Decatur GA 30037-0407 |
| Practice Telephone | 4042125454 |
| Practice Fax Number | 4042432159 |
| Mailing Telephone | 4042125454 |
| Mailing Fax Number | 4042432159 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2010-03-26 |
| Authorized Official Name | MR. EMILE RISBY (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4042432114 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 044-232 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000141061A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861505430 | Department of Behavioral Health and Developmental Disabilities | Pharmacy | 325 Lawrence Rd, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-16 |
| 1356351217 | Department of Behavioral Health and Developmental Disabilities | Clinic/Center | 6126 Arnold Dr, Columbus, GA 31907-1904 | 2006-08-09 |
| 1558371492 | Department of Behavioral Health and Developmental Disabilities | Clinic/Center | 4916 Lapaloma Dr, Columbus, GA 31907-2741 | 2006-08-09 |
| 1093046005 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2010-01-15 |
| 1992036909 | Department of Behavioral Health and Developmental Disabilities | Pharmacy | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2010-01-15 |
| 1699000703 | Department of Behavioral Health and Developmental Disabilities | Intermediate Care Facility, Mentally Retarded | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2009-10-07 |
| 1053646166 | Department of Behavioral Health and Developmental Disabilities | Skilled Nursing Facility | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2009-10-07 |
| 1033345079 | Department of Behavioral Health and Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6126 Arnold Dr, Columbus, GA 31907-1904 | 2009-06-04 |
| 1053547067 | Department of Behavioral Health and Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4916 Lapaloma Dr, Columbus, GA 31907-2741 | 2009-06-04 |
| 1760617229 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 705 N Division St Nw, Rome, GA 30165-1454 | 2009-05-27 |
| Street Address |
3073 PANTHERSVILLE RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841270998 | Gary A. Debacher | Psychologist | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2006-01-17 |
| 1679173686 | Kamirah Nishae Johnson | Social Worker | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2020-10-28 |
| 1407361918 | Comeika Towanna Norwood-sprinkle | Respiratory Therapist, Registered | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2017-12-06 |
| 1538613179 | Franklin Igbin Omorogbe | Registered Nurse | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2016-08-11 |
| 1265807135 | Damika Green | Respiratory Therapist, Registered | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2015-12-03 |
| 1306242508 | Sonja Bush | Respiratory Therapist, Certified | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2014-11-15 |
| 1407137250 | Georgia Regional Hospital | General Acute Care Hospital | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2011-09-07 |
| 1235454257 | Ga Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2010-04-01 |
| 1538398375 | Aaron Cornelius Clark | Psychiatry & Neurology | 3073 Panthersville Rd, Decatur, GA 30034 | 2009-07-14 |
| 1548497324 | Huzaifa Abukari Seidu | Psychiatry & Neurology | 3073 Panthersville Rd, Georgia Regional Hospital, Decatur, GA 30034-3828 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750353843 | State of Alabama Dept of Finance State Comptroller | Psychiatric Hospital | 4218 Us Hwy 31 S, Decatur, AL 35603-5039 | 2006-02-03 |
| 1235454257 | Ga Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2010-04-01 |
| 1730122482 | Ga Department of Human Resources | Psychiatric Hospital | 3073 Panthersville Road, Decatur, GA 30034-3828 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922485804 | Mildred Grant | Psychiatric Hospital | 255 Sumner Lakes Rd, Sumner, GA 31789-4431 | 2015-04-30 |
| 1013259035 | Janet Warrington | Psychiatric Hospital | 438 Clem Lowell Rd, Carrollton, GA 30116-9255 | 2013-03-18 |
| 1093088643 | Ramsay Youth Services of Georgia, Inc. | Psychiatric Hospital | 3500 Riverside Dr, Macon, GA 31210-2509 | 2012-02-13 |
| 1518295518 | Reentry Corporation of America | Psychiatric Hospital | 260 Peachtree St, Atlanta, GA 30303-1202 | 2009-12-02 |
| 1427292333 | Uhs of Savannah LLC | Psychiatric Hospital | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2009-04-22 |
| 1770742132 | Riverwoods Behavioral Health, LLC | Psychiatric Hospital | 223 Medical Center Drive, Riverdale, GA 30274 | 2008-06-02 |
| 1306913736 | Uhs of Laurel Heights, Lp | Psychiatric Hospital | 934 Briarcliff Rd Ne, Atlanta, GA 30306-2618 | 2006-11-29 |
| 1285663385 | Georgia Department of Human Resources | Psychiatric Hospital | 705 North Division Street Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1454 | 2006-07-01 |
| 1336114321 | Talbott Recovery Campus | Psychiatric Hospital | 5355 Hunter Rd, Atlanta, GA 30349-2594 | 2006-02-22 |
| 1205809571 | Turning Point Care Center LLC | Psychiatric Hospital | 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 | 2006-02-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.