Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MINDBRAIN INSTITUTE OF ATLANTA
Active
Organization
MINDBRAIN INSTITUTE OF ATLANTA
Active
Other names
MindBrain Institute of Atlanta
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HOLBERG GORDICK PHD (OWNER/CLINICAL DIRECTOR)
(404) 692-7027
Entity
Organization
Contact information
Practice address
2200 CENTURY PKWY NE STE 200, ATLANTA, GA 30345-3103
(404) 692-7027
Mailing address
2200 CENTURY PKWY NE STE 200, ATLANTA, GA 30345-3103
(404) 692-7027
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356672331
NPI 1
—
Enumeration date
11/09/2019
Last updated
11/09/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up