PSYCHIATRIC CONSULTATIVE SERVICES, L.L.C. (NPI# 1588727978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588727978 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC CONSULTATIVE SERVICES, L.L.C. |
| Practice Address |
4780 Ashford Dunwoody Rd Suite A 226 Atlanta GA 30338-5504 |
| Practice Telephone | 7702652772 |
| Mailing Telephone | 7702652772 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | TAREN LAZZARI (PRESIDENT) |
| Authorized Official Telephone | 7702652772 |
| Authorized Official Credential | CNS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN033413 | GA | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN095208NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN124271 | GA | Nursing Service Providers |
| Street Address |
4780 ASHFORD DUNWOODY RD SUITE A 226 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740677376 | Natasha James | Home Health | 4780 Ashford Dunwoody Rd, Atlanta, GA 30338-5564 | 2015-04-21 |
| 1376823765 | Tochukwu Yaba | Pharmacist | 4780 Ashford Dunwoody Rd, Ste. A273, Atlanta, GA 30338-5564 | 2011-08-17 |
| 1952610610 | Donna L Gardner | Psychologist | 4780 Ashford Dunwoody Rd, Suite A540 - Pmb# 202, Atlanta, GA 30338-5564 | 2010-09-29 |
| 1689810111 | Jackie Elizabeth Williams | Clinical Nurse Specialist | 4780 Ashford Dunwoody Rd, Suite A-266, Atlanta, GA 30338-5564 | 2009-01-06 |
| 1275784332 | Patricia R Harris | Clinical Nurse Specialist | 4780 Ashford Dunwoody Rd, Suite A-266, Atlanta, GA 30338-5564 | 2008-10-08 |
| 1508053364 | West Side Medical and Physical Therapy | Physical Medicine & Rehabilitation | 4780 Ashford Dunwoody Rd, Suite A-617, Atlanta, GA 30338-5564 | 2007-09-26 |
| 1982724209 | Medix Radiology Services LLC | Radiology | 4780 Ashford Dunwoody Rd, Suite A-433, Atlanta, GA 30338-5504 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589183 | Mary Azar Pride | Registered Nurse | 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 | 2013-06-26 |
| 1710222450 | Cynthia M. Brown | Registered Nurse | 34 Peachtree St., N.w., Suite 77 Mhm, Atlanta, GA 30303 | 2012-12-06 |
| 1831332725 | Katherine H Steele | Registered Nurse | 2801 Buford Highway Ne, Suite 470, Atlanta, GA 30329 | 2009-04-08 |
| 1417005661 | Taren Lazzari Msrncs Corp | Registered Nurse | 265 Ledgemont Ct Ne, Atlanta, GA 30342-2097 | 2007-01-06 |
| 1386665115 | Barbara B Anderson | Registered Nurse | 1276 Weatherstone Dr Ne, Atlanta, GA 30324-4644 | 2006-07-21 |
| 1851956791 | Vethilla Davis | Registered Nurse | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2019-05-07 |
| 1982956454 | Wendy Barnes-mellstrom | Registered Nurse | 2150 Peachford Rd, Atlanta, GA 30338 | 2012-10-09 |
| 1093049157 | Nora Ervin | Registered Nurse | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2009-09-22 |
| 1639206907 | Carol B Levy | Registered Nurse | 2004 Ridgewood Dr Ne, Atlanta, GA 30322-1031 | 2007-02-27 |
| 1487700654 | Mental Fitness & Beyond, Inc. | Registered Nurse | 1276 Weatherstone Dr Ne, Atlanta, GA 30324-4644 | 2007-01-28 |
| Find all providers in ATLANTA | ||||
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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.