Mentally Free Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MENTALLY FREE PSYCHIATRY LLC

Practice address

120 W Trinity PL
Decatur, GA 30030-3313

Phone

(470) 944-5699

NPI assigned

Dec 10, 2021

Last updated

Aug 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Santissa Clapp, PMHNP-BCNPI 1467053298

Title

Ceo

Phone

(816) 372-5279

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mentally Free Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kansas City, MO
  • NPI 1841994050

  5991170763

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mentally Free Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
  • NPI 1003510215

  O20230410000846

  Same enrollment

Locations

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.

• Santissa Tenise Clapp, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1467053298
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1336808039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W TRINITY PL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303313",
            "telephone_number": "470-944-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W TRINITY PL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303313",
            "telephone_number": "470-944-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Main St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641052120",
            "country_code": "US",
            "telephone_number": "470-944-5699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N Scottsdale Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852887095",
            "country_code": "US",
            "telephone_number": "470-944-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTALLY FREE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "CLAPP",
        "authorized_official_first_name": "SANTISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-372-5279",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delquis Rafael Mendoza, MD
• Victoria Jessica Menendez, DDS
• Indira GM Menon, M.D.
• Mental Wellness Matters Treatment Center, LLC
• Mentally Free Psych LLC
• Jay B. Mepani, M.D.
• Rozina Merchant, MD
• Merci-Joie Home Health Care LLC
• Elizabeth J Meretighan, DPT
• Daniel Malachite Merewether, LMT

• Psychiatric/Mental Health Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.