Young Minds Psychiatry, LC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

65560 Issued in GA

Legal business name

YOUNG MINDS PSYCHIATRY, LC

Practice address

750 Hammond Drive
Building 14 Suite 100
Atlanta, GA 30328

Phone

(678) 615-7032

NPI assigned

Jun 11, 2012

Organization subpart

No

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

Authorized official

Name

Anas Alkhatib, M.D.

Title

Owner

Phone

(678) 615-7032

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 20

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.

• MHD Anas Alkhatib, MD

  • Child & Adolescent Psychiatry Physician
  • Atlanta, GA
  • NPI 1528115326
  Medicare reassignment NPD
• Ciara McGann

  • Psychiatric/Mental Health Nurse Practitioner
  • Roswell, GA
  • NPI 1891569877
  Medicare reassignment NPD
• Mark Hampton Blocker, PA

  • Physician Assistant
  • Atlanta, GA
  • NPI 1104321397
  Medicare reassignment
• Courtney Thi Nguyen

  • Physician Assistant
  • Alpharetta, GA
  • NPI 1174251573
  Medicare reassignment
• Thomas James Kekeisen-Chen, DNP, PMHNP

  • Psychiatry Physician
  • Sandy Springs, GA
  • NPI 1992665137
  NPD
• Anthony Paul Campanella, PA - C, CAQ-PSYCH

  • Physician Assistant
  • Decatur, GA
  • NPI 1043808801
  NPD (past)
• Morgan Cox

  • Professional Counselor
  • Atlanta, GA
  • NPI 1316603533
  NPD (past)
• Melanie Hackney, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
  • NPI 1174249874

  Single Specialty

  NPD (past)
• Christopher Hallock, PA-C

  • Physician Assistant
  • Marietta, GA
  • NPI 1518552405
  NPD (past)
• Jessica KC, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Alpharetta, GA
  • NPI 1679431761
  NPD (past)
• Cassidy Murphy

  • Physician Assistant
  • Atlanta, GA
  • NPI 1154824696
  NPD (past)
• McKayla Briann Price, PA-C

  • Physician Assistant
  • Alpharetta, GA
  • NPI 1043034762
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1629330154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DRIVE",
            "address_2": "BLG 14 SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286520",
            "telephone_number": "678-615-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DRIVE",
            "address_2": "BUILDING 14 SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "678-615-7032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11539 Park Woods Cir Ste 603",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300052413",
            "country_code": "US",
            "telephone_number": "678-615-7032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUNG MINDS PSYCHIATRY, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "ALKHATIB",
        "authorized_official_first_name": "ANAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-615-7032",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "65560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003119089C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• You Don'T Say
• Ashlyn Youn, CNP
• Hadi Younes
• Young Adult Guidance Center, Inc (YAGC, Inc.)
• Young Men's Christian Association of Metropolitan Atlanta, Inc.
• Sha-Vashtiy Young-Ufeli, DMD
• Crystal Young-Wilson, D.O.
• Adam Young, LMSW
• Adam Stephen Young, M.D.
• Alexandria Young

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.