CENTER FOR FAMILY PSYCHIATRY (NPI# 1841379740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841379740 |
| Entity Type | Organization |
| Organization Name | CENTER FOR FAMILY PSYCHIATRY |
| Practice Address |
120 Handley Rd Suite 310 Tyrone GA 30290-2177 |
| Practice Telephone | 7704861011 |
| Practice Fax Number | 7704861067 |
| Mailing Telephone | 7704861011 |
| Mailing Fax Number | 7704861067 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-03-30 |
| Authorized Official Name | KALIKA S BHARGAVE (OFFICE MANAGER) |
| Authorized Official Telephone | 7704861011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC003177 | GA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY002096 | GA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC003153 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 076097468A | 05 |
| Street Address |
120 HANDLEY RD SUITE 310 |
| City | TYRONE |
| State | GA |
| Zip Code | 30290-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070501 | Suvrat Jagannivas Bhargave | Specialist | 120 Handley Rd, Suite 310, Tyrone, GA 30290-2177 | 2005-08-18 |
| 1801246079 | Little Peaches Pediatric Dentistry | Dentist | 120 Handley Rd, Suite 210, Tyrone, GA 30290-2177 | 2016-06-17 |
| 1043612922 | Hdh Healthcare Group, LLC | Internal Medicine | 120 Handley Rd, #400, Tyrone, GA 30290-2177 | 2014-09-22 |
| 1407124043 | Mary Ann Navarre | Counselor | 120 Handley Rd, Tyrone, GA 30290-2177 | 2011-12-11 |
| 1730466780 | Jennifer Wallace Merrill | Counselor | 120 Handley Rd, Tyrone, GA 30290-2177 | 2011-11-04 |
| 1932359627 | Durden Chiropractic Clinic, Inc. | Chiropractor | 120 Handley Rd, Suite 220, Tyrone, GA 30290-2177 | 2008-09-30 |
| 1407973936 | Genesys Family Practice, Inc. | Family Medicine | 120 Handley Rd, Suite 410, Tyrone, GA 30290 | 2007-03-22 |
| 1952433864 | Suvrat J Bhargave Md PC | Physician Assistant | 120 Handley Rd, Suite 310, Tyrone, GA 30290-2177 | 2007-03-09 |
| 1972671634 | Cynthia A Duncan | Clinical Nurse Specialist | 120 Handley Rd, Tyrone, GA 30290-2177 | 2006-12-01 |
| 1831274752 | Marilyn L Durden | Chiropractor | 120 Handley Rd, Suite 220, Tyrone, GA 30290-2177 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| Find all providers in zip 30290 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790397164 | Lotus Center for Counseling and Wellness LLC | Counselor | 155 Newfield Dr, Tyrone, GA 30290-2570 | 2020-08-18 |
| 1194244731 | Pamela Elder Pinckney | Counselor | 179 Handley Rd Ste D8, Tyrone, GA 30290-2152 | 2017-09-14 |
| 1831529395 | Maximillian A Jefferies | Counselor | 100 Lloyd Ave Ste E, Tyrone, GA 30290-2157 | 2013-11-20 |
| 1942588454 | Elizabeth S. Roberts | Counselor | 315 Dogwood Trl, Tyrone, GA 30290-2916 | 2011-08-01 |
| 1104140573 | Jane Constance Jones | Counselor | 100 Glendalough Ct, Suite E, Tyrone, GA 30290-2942 | 2010-03-15 |
| 1578886545 | Melinda English Kantor | Counselor | 100 Glendalough Ct Ste E, Tyrone, GA 30290-2942 | 2010-03-05 |
| 1912138058 | John Bernard Mcintosh | Counselor | 221 Hospital Dr, Suite 1, Tyrone, PA 16686-1809 | 2009-08-06 |
| 1144378605 | Elizabeth Ream | Counselor | 120 Handley Rd Ste 310, Tyrone, GA 30290-2173 | 2007-01-08 |
| 1548252323 | Kristi L Maxwell | Counselor | 105 Greencastle Rd, Suite B, Tyrone, GA 30290-2937 | 2005-08-18 |
| 1962029702 | Fatema Shabbir Harianawala | Counselor | 120 Handley Rd Ste 310, Tyrone, GA 30290-2173 | 2020-06-27 |
| Find all providers in TYRONE | ||||
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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.