NPIMap

Organization Active NPI

Wisteria Psychological Services LLC

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1407683295
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WISTERIA PSYCHOLOGICAL SERVICES LLC
Practice address
2250 N Druid Hills Rd NE Ste 280
Atlanta, GA 30329-3141
Phone
(404) 282-8846
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Nadrat NuhuNPI 1326643651
Title
Psychologist
Phone
(678) 558-9428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Clinical Child & Adolescent Psychologist 103TC2200X

Addresses

Primary practice location

2250 N Druid Hills Rd NE Ste 280
Atlanta, GA 30329-3141

Mailing address

2250 N Druid Hills Rd NE Ste 280
Atlanta, GA 30329-3141
Phone (678) 558-9428

National Provider Directory

National Provider Directory

Locations

2250 N Druid Hills Rd NE
Ste 280
Atlanta, GA 30329
Phone (404) 282-8846

235 E Ponce de Leon Ave
Ste 265
Decatur, GA 30030
Phone (678) 427-1805

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1407683295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N DRUID HILLS RD NE STE 280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293141",
            "telephone_number": "678-558-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N DRUID HILLS RD NE STE 280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293141",
            "telephone_number": "404-282-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISTERIA PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "NUHU",
        "authorized_official_first_name": "NADRAT",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-558-9428"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.