PARADISE MENTAL HEALTH CENTER LLC
NPI 1548936941
Psychologist in Dalton, GA

Active since August 17, 2021
407 N HAMILTON ST, DALTON, GA 30720(786) 774-7135 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2021, Sep 15, 2021, Aug 17, 2021 (3 updates tracked since 2021).

About Paradise Mental Health Center Llc NPPES

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

PARADISE MENTAL HEALTH CENTER LLC (NPI 1548936941) is a healthcare organization registered as a psychologist in Dalton, Georgia and active in the NPI registry since August 2021. The organization lists Osmany Gutierrez, Owner, as its authorized official.

NPPES Registry Identity

NPI1548936941
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePARADISE MENTAL HEALTH CENTER LLC
Location Address407 N HAMILTON STDalton, GA 30720-3124
Mailing Address407 N Hamilton StDalton, GA 30720-3124 · (786) 774-7135
Organization SubpartNo
Authorized OfficialOsmany GutierrezOwner · (786) 774-7135
Enumeration DateAugust 17, 2021
Last NPPES UpdateDecember 8, 20213 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
✔ NPI 1548936941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
407 N HAMILTON ST, Dalton, GA 30720

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paradise Mental Health Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20220307001268Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Paradise Mental Health Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychologist Billing Independently
NPI 1700070406
700 BEAVER RUIN RD NW STE F
Lilburn, GA 30047
(770) 925-7895
✔ Accepts Medicare77 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Brenda ***** December 28, 2023

5/5
Very professional and very trained, the people who work there are wonderful.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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 Paradise Mental Health Center LLC's NPI number?

The NPI number for Paradise Mental Health Center LLC is 1548936941. It was assigned to this organization in the NPPES registry on August 17, 2021.

Where is Paradise Mental Health Center LLC located?

Paradise Mental Health Center LLC is located at 407 N Hamilton St, Dalton, GA 30720. The listed phone number is (786) 774-7135.

What is Paradise Mental Health Center LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Paradise Mental Health Center LLC enrolled in Medicare?

Yes. Paradise Mental Health Center LLC is registered in the Medicare PECOS enrollment system.

When is Paradise Mental Health Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Paradise Mental Health Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychologist Billing Independently) reassigns their Medicare billing to Paradise Mental Health Center 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 Paradise Mental Health Center LLC was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.