MTJ PSYCHIATRIC SERVICES INC – Clinical Child & Adolescent Psychologist, NPI 1487617197

MTJ PSYCHIATRIC SERVICES INC is a healthcare provider. based in Mableton, Georgia. specializing in Clinical Child & Adolescent Psychologist. The organization holds a License No. 049301 (GA). The NPI Number for MTJ PSYCHIATRIC SERVICES INC is 1487617197

Main info

Organization
Name
MTJ PSYCHIATRIC SERVICES INC
NPI
1487617197
Phone
Not provided
Address
5907 BUCKNER CREEK DR
Authorized Official
DR. MARTIN THOMAS JOHNSON CEO MD
Enumeration Date
11 April 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MTJ PSYCHIATRIC SERVICES INC

  • Buckner Creek Drive Southeast, Mableton, Cobb County, Georgia, 30126, United States

    MABLETON, GA 30126

    Phone:

    Type: Mailing

  • Devereux Advanced Behavioral Health Georgia, 1291, Stanley Road Northwest, Kennesaw, Cobb County, Georgia, 30152, United States

    KENNESAW, GA 30152

    Phone: (770) 427-0147

    Fax: (770) 427-4699

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30126)

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Frequently asked questions

What federal number belongs to MTJ PSYCHIATRIC SERVICES INC?
The federal identifier for MTJ PSYCHIATRIC SERVICES INC is NPI 1487617197.
Is MTJ PSYCHIATRIC SERVICES INC active in the national directory?
MTJ PSYCHIATRIC SERVICES INC's public NPI profile is in an active state.
Does MTJ PSYCHIATRIC SERVICES INC list a primary specialty?
If you are matching referrals, note Clinical Child & Adolescent Psychologist for MTJ PSYCHIATRIC SERVICES INC. Clinical services aligned with this taxonomy classification.
Does MTJ PSYCHIATRIC SERVICES INC practice in Georgia?
You will see Mableton, Georgia on file for MTJ PSYCHIATRIC SERVICES INC alongside any extra practice locations.
What if Mableton, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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