1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Community Behavioral Health
  6. NPI Profile

DEKALB SERVICE CENTER
NPI 1861536955
Community/Behavioral Health in Atlanta, GA

Active since February 20, 2007CLIA 11D0927310 · Waiver
2660 OSBORNE RD NE, ATLANTA, GA 30319(404) 231-9363 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dekalb Service Center NPPES

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

DEKALB SERVICE CENTER (NPI 1861536955) is a healthcare organization registered as a community/behavioral health in Atlanta, Georgia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists Fabio Bruno Van Der Merwe, Coo, as its authorized official.

NPPES Registry Identity

NPI1861536955
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDEKALB COMMUNITY SERVICE BOARD
Location Address2660 OSBORNE RD NEAtlanta, GA 30319-2832
Mailing Address445 Winn WayDecatur, GA 30030-1707 · (404) 508-3836
Phone(404) 231-9363
Organization SubpartYes
Authorized OfficialFabio Bruno Van Der MerweCoo · (404) 294-3836
Enumeration DateFebruary 20, 2007
Last NPPES UpdateApril 23, 2020
NPPES CertifiedApril 23, 2020
✔ NPI 1861536955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2660 OSBORNE RD NE, Atlanta, GA 30319
Open in Google Maps ↗

Other Names 1

Other NameDekalb Service Center

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 11D0927310

Dekalb Community Service Board · Decatur, GA
Active · expires Apr 15, 2027
CLIA Number11D0927310
Laboratory TypeOther
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorCarmen Martinez
Laboratory Phone(404) 231-9363
Laboratory LocationDekalb Community Service Board445 Winn Way, 4th Floor, Decatur, GA 30030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. GEERTRUIDA CORNELIA DISSELDORP RN
Registered Nurse
2660 OSBORNE RD NE
ATLANTA, GA 30319
Dekalb County (404) 231-9363
MRS. JOAN C REDDING LPN
Licensed Practical Nurse
2660 OSBORNE RD NE
ATLANTA, GA 30319
Dekalb County (404) 231-9363
MS. SALLY DEAVER REED LMSW
Social Worker (Clinical)
2660 OSBORNE RD NE
ATLANTA, GA 30319
Dekalb County (404) 231-9363
JANIE MAY SMITH
Licensed Practical Nurse
2660 OSBORNE RD NE
ATLANTA, GA 30319
Dekalb County (404) 231-9363

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 Dekalb Community Service Board's NPI number?

The NPI number for Dekalb Community Service Board is 1861536955. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is also known as Dekalb Service Center.

Where is Dekalb Community Service Board located?

Dekalb Community Service Board is located at 2660 Osborne Rd NE, Atlanta, GA 30319. The listed phone number is (404) 231-9363.

What is Dekalb Community Service Board's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Dekalb Community Service Board hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0927310) is associated with this NPI, valid through April 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dekalb Community Service Board was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.