Paradise Mental Health Center LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PARADISE MENTAL HEALTH CENTER LLC

Practice address

407 N Hamilton St
Dalton, GA 30720-3124

Phone

(786) 774-7135

NPI assigned

Aug 17, 2021

Last updated

Dec 8, 2021By 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

Osmany Gutierrez

Title

Owner

Phone

(786) 774-7135

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Maria Carmen Santana, PHD

  • Psychologist
  • Lilburn, GA
  • NPI 1700070406
  Medicare reassignment NPD
• Jonathan Edward Guy, M.D.

  • Psychiatry Physician
  • Decatur, GA
  • NPI 1871746990
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1548936941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N HAMILTON ST",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203124",
            "telephone_number": "786-774-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N HAMILTON ST",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203124",
            "telephone_number": "786-774-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "OSMANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-774-7135"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Pal, MD, MPH
• Carly Palmer, NP-C
• Scott Palmer, DPT
• Leah Marie Suico Pamor, OT
• Cynthia Paniagua
• Paragon Medical Associates
• Parekh Dental, PC (Aspen Dental)
• Phillip L. Parham Jr., DMD
• Courtney Spahn Paris, PHARMACIST
• Jessica Paris

• Psychologist in Dalton, GA
• Providers in Dalton, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.