NORTHFALL PSYCHIATRY & MEDICINE NPI 1245828805

NPI Information

NPI: 1245828805
Provider Name: NORTHFALL PSYCHIATRY & MEDICINE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 11D2045303

Address:
11815 NORTHFALL LN STE 1001
ALPHARETTA, GA
ZIP 30009
Phone: (470) 695-4515
Get Directions

NORTHFALL PSYCHIATRY & MEDICINE is a psychiatric/mental health nurse practitioner in Alpharetta, GA. NORTHFALL PSYCHIATRY & MEDICINE NPI is 1245828805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11815 NORTHFALL LN STE 1001
ALPHARETTA, GA
ZIP 30009-973
Phone: (470) 695-4515

The provider's authorized official is Omni Webster .
The authorized official title is Office Manager and has the following contact phone number (470) 695-4515.

The CLIA number assigned to this NPI record is 11D2045303 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2021 and was last updated on 1/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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