Carla Renae Odeniyi, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Atlanta, GA
NPI 1972266906 · NPPES record last updated Aug 14, 2025
Key facts
- NPI
- 1972266906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN232728 (GA)
- Practice address
- 173 Boulevard NE
Atlanta, GA 30312-1468 - Phone
- (404) 658-1500
- NPI assigned
- Oct 17, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN232728 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Healthy Mind | Psychiatric/Mental Health | Current | Accepting new patients |
Interoperability endpoints
- carla.odeniyi.1@10414.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN232728 | GA | Yes |
Addresses
Primary practice location
173 Boulevard NE
Atlanta, GA 30312-1468
Mailing address
173 Boulevard NE
Atlanta, GA 30312-1468
Phone (404) 658-1500
Other names
- Miss Carla Skinner
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All providers in Atlanta, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.