Active NPI
Nicola Pinto, LCSW. PMHNP
- Psychiatric/Mental Health Registered Nurse
- Decatur, GA
National Provider Identifier
1356748636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 300926
- Practice address
- 2711 Irvin Way Ste 211
Decatur, GA 30030-1724 - Phone
- (404) 501-0001
- Fax
- (404) 501-0023
- NPI assigned
- Dec 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05599500 | NJ | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 300926 | GA | Primary |
Addresses
Primary practice location
2711 Irvin Way Ste 211
Decatur, GA 30030-1724
Mailing address
1201 Baywood Cir
Morrow, GA 30260-2194
Phone (973) 803-3763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250311001390 | GA | Practitioner - Nurse Practitioner | 9234650938 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05599500 | NJ | MD | Clinical Social Worker |
| 300926 | GA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Advancement Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- West Orange, NJ
- NPI 1396071668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1356748636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 BAYWOOD CIR",
"city": "MORROW",
"state": "GA",
"postal_code": "302602194",
"telephone_number": "973-803-3763",
"fax_number": "877-804-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 IRVIN WAY STE 211",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301724",
"telephone_number": "404-501-0001",
"fax_number": "404-501-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINTO",
"first_name": "NICOLA",
"name_prefix": "Ms.",
"credential": "LCSW. PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-02",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05599500",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "GA",
"license": "300926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.