ROSWELL PSYCHIATRIC SERVICES, PC
NPI 1114251188
Psychiatry & Neurology - Child & Adolescent Psychiatry in Roswell, GA
NPI Status: Active since September 24, 2009
Contact Information
77 E CROSSVILLE RD
STE. 206
ROSWELL, GA
ZIP 30075
Phone: (770) 552-4655
Fax: (770) 552-4282
- Organization
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
About ROSWELL PSYCHIATRIC SERVICES, PC
This page provides the complete NPI Profile along with additional information for Roswell Psychiatric Services, Pc, a provider established in Roswell, Georgia operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1114251188 assigned on September 2009. The practitioner's primary taxonomy code is 2084P0804X with license number 044067 (GA). The provider is registered as an organization and their NPI record was last updated 16 years ago. Roswell Psychiatric Services, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Consuelo Reddick Md (Owner)
- NPI
- 1114251188
- Provider Name
- ROSWELL PSYCHIATRIC SERVICES, PC
- Entity Type
- Organization
- Location Address
- 77 E CROSSVILLE RD STE. 206 ROSWELL, GA 30075
- Location Phone
- (770) 552-4655
- Location Fax
- (770) 552-4282
- Mailing Address
- PO BOX 1988 ROSWELL, GA 30077
- Mailing Phone
- (770) 552-4655
- Mailing Fax
- (770) 552-4282
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-24-2009
- Last Update Date
- 09-24-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 044067
- License State
- GA
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 044067 (GA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C75884 | MEDICARE UPIN (02) | GA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 2 | 5 | 1 | 1 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 5 | 2 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 5 + 2 + 1 + 1 + 6 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1114251188 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528303906 | DR. TERRY MITCHELL PHD Individual | Counselor (Pastoral) | 77 E CROSSVILLE RD #207 ROSWELL, GA 30075 (678) 999-3951 |
| 1457691156 | SOUL CARE Organization | Counselor | 77 E CROSSVILLE RD SUITE 207 ROSWELL, GA 30075 (678) 999-3951 |
| 1437214350 | CONSUELO REDDICK M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 77 E CROSSVILLE RD STE. 206 ROSWELL, GA 30075 (770) 552-4655 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114251188, enumerated in the NPI registry as an "organization" on September 24, 2009
The provider is located at 77 E Crossville Rd Ste. 206 Roswell, Ga 30075 and the phone number is (770) 552-4655
This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 24, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.