Mandip Medipsych Health Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MANDIP MEDIPSYCH HEALTH SERVICES

Practice address

850 Dogwood Rd
Lawrenceville, GA 30044-7218

Phone

(470) 854-8533

Fax

(470) 690-2310

NPI assigned

Jun 4, 2025

Organization subpart

No

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

Authorized official

Name

Judith Mandip EgbeNPI 1588075212

Title

Owner / Authorized Official

Phone

(470) 854-8533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith Mandip Egbe

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1588075212
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1396639480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 HOLLOWSTONE DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526222",
            "telephone_number": "470-854-8533",
            "fax_number": "470-690-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 DOGWOOD RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447218",
            "telephone_number": "470-854-8533",
            "fax_number": "470-690-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDIP MEDIPSYCH HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "EGBE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "MANDIP",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "470-854-8533"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selamawit Y Mamo
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• Amy Man, DMD
• Hannah Manboah-Rockson, AGPCNP-BC
• Lauren Marie Mandelkow, DPT
• Srinand Mandyam, MD
• Manekar Medical Clinic PA
• Monica Mangram
• Puja Mangukiya, MD
• Asherah S Manley

• Psychiatric/Mental Health Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, 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 Jun 4, 2025; 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.