MALINDA SMITH (NPI# 1295299030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295299030 |
| Entity Type | Individual |
| Full Name | MALINDA SMITH |
| Practice Address |
740 Fletcher St Cedartown GA 30125-3249 |
| Practice Telephone | 7707481500 |
| Mailing Telephone | 7707481500 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1699806240 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 740 Fletcher St, Cedartown, GA 301253249 | 7707481500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336234343 | Malinda L Smith | Physical Therapist | 140 Cordoba Ctr Dr, Physical Therapy Plus, Hot Springs Village, AR 71909 | 2006-10-04 |
| 1285975110 | Malinda Lou Smith | Occupational Therapist | 395 Harding St, Defiance, OH 43512-1315 | 2013-03-01 |
| Street Address |
740 FLETCHER ST |
| City | CEDARTOWN |
| State | GA |
| Zip Code | 30125-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699806240 | Murphy-harpst Children's Centers | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2007-03-07 |
| 1417568031 | Amanda Robinson | Behavior Technician | 740 Fletcher St, Cedartown, GA 30125-3249 | 2020-08-17 |
| 1871112169 | Katherine Casey Thomas | Registered Nurse | 740 Fletcher St, Cedartown, GA 30125-3249 | 2020-04-16 |
| 1356970503 | Jennifer Elaine Eubanks | Registered Nurse | 740 Fletcher St, Cedartown, GA 30125-3249 | 2020-04-08 |
| 1972135945 | Faith Payne | Social Worker | 740 Fletcher St, Cedartown, GA 30125-3249 | 2020-02-07 |
| 1679104871 | Tony Simmons Jr. | Case Manager/Care Coordinator | 740 Fletcher St, Cedartown, GA 30125-3249 | 2020-01-28 |
| 1053956102 | Murphy-harpst Childrens Center | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-11-13 |
| 1265076533 | Murphy Harpst Childrens Center | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-10-30 |
| 1841833498 | Murphy Harpst Children's Center | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-10-25 |
| 1730741513 | Michael Paul Moniz | Community Health Worker | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244607 | Ryan Ray Beck | Psychologist | 243 E. Girard Avenue, Cedartown, GA 30125 | 2008-12-30 |
| 1619156981 | Pamela Diane Hearn | Family Medicine | 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125 | 2007-11-02 |
| 1962571786 | David Gandy | Dentist | 109 East Ave, Cedartown, GA 30125 | 2006-11-07 |
| 1255444519 | Cedartown Radiology Group | Radiology | 424 North Main St, Cedartown, GA 30125 | 2006-08-17 |
| 1255822771 | Hannah Bell Helton | Nurse Practitioner | 2360 Rockmart Hwy, Cedartown, GA 30125 | 2018-05-21 |
| 1417168808 | Terri Lynn Willis | Dentist | 113 Plantation Ave, Suite A, Cedartown, GA 30125 | 2007-05-25 |
| 1427193812 | Benjamin Stratman Anderson Jr. | Family Medicine | 812 S Main St, Cedartown, GA 30125-0508 | 2007-02-21 |
| 1972760197 | Jerry Octave Weaver | Community Health Worker | 215 Fair Oaks Rd, Cedartown, GA 30125-2011 | 2008-05-16 |
| 1346302387 | Mary Scott Worthington | Case Manager/Care Coordinator | 340 Lakeview Dr, Cedartown, GA 30125-2019 | 2006-12-15 |
| 1639606049 | Kayla Benton | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2017-05-16 |
| Find all providers in zip 30125 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699806240 | Murphy-harpst Children's Centers | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2007-03-07 |
| 1053956102 | Murphy-harpst Childrens Center | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-11-13 |
| 1265076533 | Murphy Harpst Childrens Center | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-10-30 |
| 1841833498 | Murphy Harpst Children's Center | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-10-25 |
| 1730624321 | Sherita Owensby | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2017-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023543766 | One Heart and One Mind Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5737 Old National Hwy, Suite 300, Atlanta, GA 30349-7410 | 2017-05-01 |
| 1396131249 | There's No Place Like A Loving Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2000 Jardin Ct, Alpharetta, GA 30022-4600 | 2015-04-07 |
| 1912343302 | Our Spot | Residential Treatment Facility, Emotionally Disturbed Children | 1015 E Inman St, Statesboro, GA 30458-2049 | 2013-05-13 |
| 1902163520 | Shepherd's Hill Academy, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2200 Price Rd, Martin, GA 30557-3457 | 2012-04-20 |
| 1871879312 | Vision Youth Services Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4228 Redan Rd, Stone Mountain, GA 30083-5040 | 2011-10-28 |
| 1356634034 | Soaring Eagle Children's Group | Residential Treatment Facility, Emotionally Disturbed Children | 3183 Northbrook Dr, Atlanta, GA 30341-4629 | 2011-05-27 |
| 1124330386 | Favorable Network Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 881 Memorial Dr Se, Suite 213, Atlanta, GA 30316-1270 | 2010-07-04 |
| 1467687665 | Positive Impact Hhs, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 934 Garden Walk Blvd. # 903, College Park, GA 30349-8508 | 2009-05-18 |
| 1932342235 | The Sanctuary House, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 500 John Deere Rd Nw, Monroe, GA 30656-4769 | 2009-04-16 |
| 1417198458 | Naciema Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 3200 Stone Rd Sw Apt W8, Atlanta, GA 30331-2920 | 2009-03-22 |
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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.