Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mtj Psychiatric Services Inc

Organization Clinical Child & Adolescent Psychologist · NPI 1487617197

Mtj Psychiatric Services Inc is a Clinical Child & Adolescent Psychologist in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1291 Stanley Rd
Kennesaw, GA 30152
Phone: (770) 427-0147
Fax: (770) 427-4699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 049301 (GA)

Record details

NPI number1487617197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Johnson — Ceo · (678) 984-7557
NPI enumeratedApril 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5907 Buckner Creek Dr, Mableton, GA 30126

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