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MTJ PSYCHIATRIC SERVICES INC
NPI 1487617197
Psychologist - Clinical Child & Adolescent in Kennesaw, GA

Active since April 11, 2006
1291 STANLEY RD, KENNESAW, GA 30152(770) 427-0147(770) 427-4699 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mtj Psychiatric Services Inc NPPES

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

MTJ PSYCHIATRIC SERVICES INC (NPI 1487617197) is a healthcare organization registered as a clinical child & adolescent in Kennesaw, Georgia and active in the NPI registry since April 2006. The organization lists Martin Thomas Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487617197
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameMTJ PSYCHIATRIC SERVICES INC
Location Address1291 STANLEY RDKennesaw, GA 30152
Mailing Address5907 Buckner Creek DrMableton, GA 30126
Phone(770) 427-0147
Fax(770) 427-4699
Organization SubpartNo
Authorized OfficialMartin Thomas JohnsonCeo · (678) 984-7557
Enumeration DateApril 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487617197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in GA · 049301
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1291 STANLEY RD, Kennesaw, GA 30152
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DEVEREUX GOERGIA TREATMENT NETWORK
Psychiatric Residential Treatment Facility
1291 STANLEY RD
KENNESAW, GA 30152
Cobb County (770) 427-0147

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 Mtj Psychiatric Services Inc's NPI number?

The NPI number for Mtj Psychiatric Services Inc is 1487617197. It was assigned to this organization in the NPPES registry on April 11, 2006.

Where is Mtj Psychiatric Services Inc located?

Mtj Psychiatric Services Inc is located at 1291 Stanley Rd, Kennesaw, GA 30152. The listed phone number is (770) 427-0147.

What is Mtj Psychiatric Services Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Mtj Psychiatric Services Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.