INTEGRATED BEHAVIORAL CENTER PC (NPI# 1649201625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649201625 |
| Entity Type | Organization |
| Organization Name | INTEGRATED BEHAVIORAL CENTER PC |
| Practice Address |
1121 Cornell Avenue Savannah GA 31406 |
| Practice Telephone | 9123554987 |
| Practice Fax Number | 9123537257 |
| Mailing Telephone | 9123554987 |
| Mailing Fax Number | 9123537257 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MANOJ K DASS (PRESIDENT) |
| Authorized Official Telephone | 9123554987 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 104100000X | Social Worker | 002990 | GA | Behavioral Health & Social Service Providers |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
22536 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00235034A | 05 |
| Street Address |
1121 CORNELL AVENUE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472216 | Latrell Demetria White | Social Worker | 1206 Graydon St, Savannah, GA 31404-2020 | 2019-08-14 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1528561321 | Amber Lynn Duke | Social Worker | 2 Bee Rd, Savannah, GA 31404-3530 | 2018-03-17 |
| 1194273425 | Tracy Smith | Social Worker | 40 Daveitta Dr, Savannah, GA 31419-3155 | 2016-09-15 |
| 1417306325 | Ronald Legree Jr. | Social Worker | 27 Gerald Dr, Savannah, GA 31406-2923 | 2016-06-10 |
| 1750769725 | Jared Michael Campbell | Social Worker | 127 Abercorn St Ste 302, Savannah, GA 31401-4069 | 2015-05-11 |
| 1770976169 | Sylvia Annette Womack | Social Worker | 6605 Abercorn St Ste 213e, Savannah, GA 31405 | 2015-03-10 |
| 1831440072 | Charita Nicole Smith | Social Worker | 300 Commercial Ct Ste F, Savannah, GA 31406-2676 | 2012-09-27 |
| 1770841488 | Andrea Hope Aderton | Social Worker | 206 N Ironwood St, Savannah, MO 64485-9469 | 2012-05-01 |
| 1548419450 | Margaret Lamar | Social Worker | 42 & 44 Medical Arts Center, Savannah, GA 31401 | 2008-09-16 |
| Find all providers in SAVANNAH | ||||
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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.