NPI age
6 years
Enumerated 2019-11-09
● Active Type 2 · Organization
Mindbrain Institute Of Atlanta
Mindbrain Institute Of Atlanta is 1 of 662 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gordick
Owner/clinical Director
Last NPPES update
2019-11-09
Source: monthly bulk 2026-05
How this organization compares
Across 662 active clinic/center providers in Georgia.
NPI age
6 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-11Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
2200 Century Pkwy Ne Ste 200
Atlanta, GA 303453103
Mailing address
2200 Century Pkwy Ne Ste 200
Atlanta, GA 303453103
Authorized official
Diana Holberg Gordick, PHD
Owner/clinical Director
📞 4046927027
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Ephi Betan, PHD Psychologist NPI 1114483534
- Elizabeth Perlmutter, LCSW Social Worker NPI 1700222049
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1356672331 | NPI 1 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
MindBrain Institute of Atlanta
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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