Monte Nido Georgia LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MONTE NIDO GEORGIA LLC

Practice address

124 Johnson Ferry Rd NE
Sandy Springs, GA 30328-3004

Phone

(305) 663-1876

Fax

(786) 359-4485

NPI assigned

Mar 27, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jason Schulz

Title

Chief Financial Officer

Phone

(305) 663-1876

Specialties & licenses 2

Addresses

Other names 1

• Clementine Atlanta Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Clementine Atlanta2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Monte Nido Georgia LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Sandy Springs, GA
  • NPI 1073141271
  NPD tax ID

Locations

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1275161192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SW 76TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435002",
            "telephone_number": "305-663-1876",
            "fax_number": "786-359-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 JOHNSON FERRY RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283004",
            "telephone_number": "305-663-1876",
            "fax_number": "786-359-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE NIDO GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "305-663-1876",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clementine Atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monarch Counseling Services LLC
• Kathleen Marie Moncreiff, D.C.
• Hannah Monell, MS, OTR/L
• Courtney Monroe, RPH
• Monte Nido Georgia LLC
• David E. Montgomery, MD
• Donnielle Montgomery
• Marina Montgomery, PTA
• Brittany Nicole Moore
• Jasmine Moore

• Adolescent and Children Mental Health Clinic/Center in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.