Organization Active NPI

The Institute for Relationship Wellness & Sexual Health PC

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1922566553
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THE INSTITUTE FOR RELATIONSHIP WELLNESS & SEXUAL HEALTH PC
Practice address
2255 Cumberland Pkwy SE BLDG 500-140
Atlanta, GA 30339-4524
Phone
(855) 878-5325
NPI assigned
Mar 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Mesha Ellis, PHDNPI 1255378386
Title
Psychologist
Phone
(678) 538-6450

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 CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174H00000X

Addresses

Primary practice location

2255 Cumberland Pkwy SE BLDG 500-140
Atlanta, GA 30339-4524

Mailing address

2790 Skypark Dr Ste 307
Torrance, CA 90505-5388
Phone (855) 878-5325

Other practice location 1

2790 Skypark Dr Ste 307
Torrance, CA 90505-5388
Phone (855) 878-5325

National Provider Directory

National Provider Directory

Locations

2255 Cumberland Pkwy SE
Bldg 500-140
Atlanta, GA 30339
Phone (678) 538-6450

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": "1551484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1922566553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 SKYPARK DR STE 307",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055388",
            "telephone_number": "855-878-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 CUMBERLAND PKWY SE BLDG 500-140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394524",
            "telephone_number": "855-878-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Skypark Dr Ste 307",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905055388",
            "country_code": "US",
            "telephone_number": "855-878-5325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE INSTITUTE FOR RELATIONSHIP WELLNESS & SEXUAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-02",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MESHA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-538-6450",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "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 May 1, 2020; 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.