Organization Active NPI

City Psychiatry LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucker, GA
National Provider Identifier
1679464143
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CITY PSYCHIATRY LLC
Practice address
2219 Carson Valley Dr
Tucker, GA 30084-3106
Phone
(404) 964-5415
Fax
(854) 228-6420
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Kasara Al Helou, PA-CNPI 1770235855
Title
PA-C / Minority Owner
Phone
(404) 964-5415

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
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2219 Carson Valley Dr
Tucker, GA 30084-3106

Mailing address

2219 Carson Valley Dr
Tucker, GA 30084-3106
Phone (404) 964-5415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250923004593 GA Part B Supplier - Clinic/Group Practice 6002311834 Receives reassigned benefits from 2 practitioners
Practice locations: Sandy Springs, GA; Tucker, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1679464143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 CARSON VALLEY DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843106",
            "telephone_number": "404-964-5415",
            "fax_number": "854-228-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 CARSON VALLEY DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843106",
            "telephone_number": "404-964-5415",
            "fax_number": "854-228-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "AL HELOU",
        "authorized_official_first_name": "KASARA",
        "authorized_official_title_or_position": "PA-C / MINORITY OWNER",
        "authorized_official_telephone_number": "404-964-5415",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.