Organization Active NPI

Nouveaux U Behavioral Health Professional Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Buford, GA
National Provider Identifier
1700686250
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NOUVEAUX U BEHAVIORAL HEALTH PROFESSIONAL CORPORATION
Practice address
2675 Mall of Georgia Blvd Ste 103
Buford, GA 30519-8783
Phone
(678) 979-3905
NPI assigned
Mar 14, 2025
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Melissa Pauline, NPNPI 1770959660
Title
Ceo
Phone
(908) 400-5058

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

2675 Mall of Georgia Blvd Ste 103
Buford, GA 30519-8783

Mailing address

2675 Mall of Georgia Blvd Ste 103
Buford, GA 30519-8783
Phone (678) 979-3905

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2326259Nouveaux U Behavioral Health2675 Mall of Georgia Blvd, Suite 103, Buford, GA 30519Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory

Locations

2675 Mall of Georgia Blvd
Ste 103
Buford, GA 30519
Phone (678) 979-3905

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1700686250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 MALL OF GEORGIA BLVD STE 103",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198783",
            "telephone_number": "678-979-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 MALL OF GEORGIA BLVD STE 103",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198783",
            "telephone_number": "678-979-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOUVEAUX U BEHAVIORAL HEALTH PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "PAULINE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-400-5058",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.