| Neuro Behavioral Health Associates, Llc | |
|
367 Athens Hwy Ste 1800 Loganville GA 30052-8293 | |
| (770) 554-2999 | |
| (770) 679-6390 |
| Full Name | Neuro Behavioral Health Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 367 Athens Hwy Ste 1800, Loganville, Georgia |
| Authorized Official Name and Position | Mehmood Mehdi (OWNER) |
| Authorized Official Contact | 7705542999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Behavioral Health Associates, Llc 367 Athens Hwy Ste 1800 Loganville GA 30052-8293 Ph: (770) 554-2999 | Neuro Behavioral Health Associates, Llc 367 Athens Hwy Ste 1800 Loganville GA 30052-8293 Ph: (770) 554-2999 |
| NPI Number | 1477886919 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Medicare PECOS PAC ID | 5890839658 |
|---|---|
| Medicare Enrollment ID | O20100217000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477886919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 057725 (Georgia) | Primary |
| Provider Name | Mehmood Mehdi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922017987 PECOS PAC ID: 8729082516 Enrollment ID: I20060911000129 |
| Provider Name | Naomi Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003353632 PECOS PAC ID: 3274816350 Enrollment ID: I20170215002625 |
| Provider Name | Zandra Cruz Paul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356726764 PECOS PAC ID: 9739450826 Enrollment ID: I20170808002533 |
| Provider Name | Olufunke Adewunmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942793773 PECOS PAC ID: 1355688078 Enrollment ID: I20190201002683 |
| Provider Name | Mwangala Kristine Sibetta-pate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043756885 PECOS PAC ID: 4688028004 Enrollment ID: I20231003002890 |
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