MENTALLY FREE PSYCHIATRY LLC
NPI 1336808039
Nurse Practitioner - Psychiatric/Mental Health in Decatur, GA
About Mentally Free Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENTALLY FREE PSYCHIATRY LLC (NPI 1336808039) is a healthcare organization registered as a psychiatric/mental health in Decatur, Georgia and active in the NPI registry since December 2021. The organization maintains 2 additional practice locations and lists Santissa Clapp, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mentally Free Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mentally Free Psychiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mentally Free Psychiatry LLC's NPI number?
The NPI number for Mentally Free Psychiatry LLC is 1336808039. It was assigned to this organization in the NPPES registry on December 10, 2021.
Where is Mentally Free Psychiatry LLC located?
Mentally Free Psychiatry LLC is located at 120 W Trinity Pl, Decatur, GA 30030. The listed phone number is (470) 944-5699.
What is Mentally Free Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mentally Free Psychiatry LLC enrolled in Medicare?
Yes. Mentally Free Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mentally Free Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mentally Free Psychiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mentally Free Psychiatry LLC was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mentally Free Psychiatry Llc · NPI 1336808039
Psychiatric/Mental Health organization in Decatur, Georgia. Organization record, active in the CMS NPPES registry since December 10, 2021.
## Identity
- **NPI:** 1336808039 (Entity type: Organization)
- **Enumerated:** December 10, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Santissa Clapp, CEO
## Practice location
- **Address:** 120 W TRINITY PL, Decatur, GA 30030-3313
- **Phone:** (470) 944-5699
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1336808039) · Data from the CMS NPPES public registry.