NORTH ATLANTA MENTAL WELLNESS
NPI 1780296533
Clinic/Center - Adult Mental Health in Atlanta, GA

Active since August 21, 2020CLIA 11D2193344 · Waiver
1742 MOUNT VERNON RD STE 150B, ATLANTA, GA 30338(631) 512-1567 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Atlanta Mental Wellness NPPES

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

NORTH ATLANTA MENTAL WELLNESS (NPI 1780296533) is a healthcare organization registered as an adult mental health in Atlanta, Georgia and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Ryan Cierzniewski, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780296533
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameNORTH ATLANTA MENTAL WELLNESS
Location Address1742 MOUNT VERNON RD STE 150BAtlanta, GA 30338-4251
Mailing Address1742 Mount Vernon Rd Ste 150bAtlanta, GA 30338-4251
Organization SubpartNo
Authorized OfficialRyan CierzniewskiCeo · (631) 512-1567
Enumeration DateAugust 21, 2020
NPPES CertifiedAugust 21, 2020
NPI 1780296533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1742 MOUNT VERNON RD STE 150B, Atlanta, GA 30338

Other Names 1

Former Legal Business NameNorth Atlanta Mental Wellness

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2193344

North Atlanta Mental Wellness · Atlanta, GA
Active · expires Sep 20, 2026
CLIA Number11D2193344
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorPaul Panchajanya
Laboratory Phone(631) 512-1567
Laboratory LocationNorth Atlanta Mental Wellness1742-150c Mount Vernon Road, Atlanta, GA 30338
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 North Atlanta Mental Wellness's NPI number?

The NPI number for North Atlanta Mental Wellness is 1780296533. It was assigned to this organization in the NPPES registry on August 21, 2020.

Where is North Atlanta Mental Wellness located?

North Atlanta Mental Wellness is located at 1742 Mount Vernon Rd Ste 150B, Atlanta, GA 30338. The listed phone number is (631) 512-1567.

What is North Atlanta Mental Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does North Atlanta Mental Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2193344) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Atlanta Mental Wellness was last updated on August 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.