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ROSWELL PSYCHIATRIC SERVICES, PC
NPI 1114251188
Psychiatry & Neurology - Child & Adolescent Psychiatry in Roswell, GA

Active since September 24, 2009
77 E CROSSVILLE RD, STE. 206, ROSWELL, GA 30075(770) 552-4655(770) 552-4282 Get Directions Write a Review

NPPES record last updated: September 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roswell Psychiatric Services, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSWELL PSYCHIATRIC SERVICES, PC (NPI 1114251188) is a healthcare organization registered as a child & adolescent psychiatry in Roswell, Georgia and active in the NPI registry since September 2009. The organization lists Consuelo Reddick, Owner, as its authorized official.

NPPES Registry Identity

NPI1114251188
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameROSWELL PSYCHIATRIC SERVICES, PC
Location Address77 E CROSSVILLE RD, STE. 206Roswell, GA 30075-5815
Mailing AddressPo Box 1988Roswell, GA 30077-1988 · (770) 552-4655 · Fax (770) 552-4282
Phone(770) 552-4655
Fax(770) 552-4282
Organization SubpartNo
Authorized OfficialConsuelo ReddickOwner · (770) 552-4655
Enumeration DateSeptember 24, 2009
✔ NPI 1114251188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in GA · 044067
Definition
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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 044067 (GA)
77 E CROSSVILLE RD, Roswell, GA 30075
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Other Identifiers 1

Medicare UPINC75884GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUL CARE
Counselor
77 E CROSSVILLE RD, SUITE 207
ROSWELL, GA 30075
Fulton County (678) 999-3951
DR. TERRY MITCHELL PHD
Counselor (Pastoral)
77 E CROSSVILLE RD, #207
ROSWELL, GA 30075
Fulton County (678) 999-3951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roswell Psychiatric Services, PC's NPI number?

The NPI number for Roswell Psychiatric Services, PC is 1114251188. It was assigned to this organization in the NPPES registry on September 24, 2009.

Where is Roswell Psychiatric Services, PC located?

Roswell Psychiatric Services, PC is located at 77 E Crossville Rd Ste. 206, Roswell, GA 30075. The listed phone number is (770) 552-4655.

What is Roswell Psychiatric Services, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Roswell Psychiatric Services, PC was last updated on September 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.