Organization Active NPI

Greater Minds of America

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McDonough, GA
National Provider Identifier
1114689627
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GREATER MINDS OF AMERICA
Practice address
1700 Pennsylvania Ave Ste 206
McDonough, GA 30253-9115
Phone
(706) 286-6889
Fax
(833) 944-2501
NPI assigned
Oct 12, 2021
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shkeya Bellfield, PMHNP-BCNPI 1437811940
Title
Owner
Phone
(706) 286-6889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1700 Pennsylvania Ave Ste 206
McDonough, GA 30253-9115

Mailing address

1700 Pennsylvania Ave
McDonough, GA 30253-9115
Phone (678) 322-8268

Other practice location 1

7600 N 15th St Ste 150
Phoenix, AZ 85020-4305
Phone (706) 765-4360

Other practice location 2

22525 SE 64th Pl Ste 200
Issaquah, WA 98027-5307
Phone (706) 765-4360

Other practice location 3

150 Central Park Sq
Los Alamos, NM 87544-4026
Phone (706) 765-4360

National Provider Directory

National Provider Directory

Locations

1700 Pennsylvania Ave
McDonough, GA 30253
Phone (648) 507-0900

1700 Pennsylvania Ave
Ste 206
McDonough, GA 30253
Phone (706) 286-6889

150 Central Park Sq
Los Alamos, NM 87544
Phone (706) 765-4360

22525 SE 64th Pl
Ste 200
Issaquah, WA 98027
Phone (425) 557-3636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1114689627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PENNSYLVANIA AVE",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539115",
            "telephone_number": "678-322-8268",
            "fax_number": "833-944-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PENNSYLVANIA AVE STE 206",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539115",
            "telephone_number": "706-286-6889",
            "fax_number": "833-944-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 N 15th St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850204305",
            "country_code": "US",
            "telephone_number": "706-765-4360",
            "fax_number": "833-944-2501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22525 SE 64th Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980275307",
            "country_code": "US",
            "telephone_number": "706-765-4360",
            "fax_number": "833-944-2501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Central Park Sq",
            "address_purpose": "LOCATION",
            "city": "Los Alamos",
            "state": "NM",
            "postal_code": "875444026",
            "country_code": "US",
            "telephone_number": "706-765-4360",
            "fax_number": "833-944-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREATER MINDS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "BELLFIELD",
        "authorized_official_first_name": "SHKEYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-286-6889",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.