Organization provider

SACRED SPACE PSYCHIATRY CENTER LLC

Mental Health Clinic/Center (Including Community Mental Health Center)

SACRED SPACE PSYCHIATRY CENTER LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1962396580, based in Mcdonough, GA. It is classified under Mental Health Clinic/Center (Including Community Mental Health Center).

Getting there

The practice address on file is 17 HAMPTON ST STE A, Mcdonough, GA 30253. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

17 HAMPTON ST STE A, Mcdonough, GA 30253 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Mental Health (Including Community Mental Health Center) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 261QM0801X
Ambulatory Health Care Facilities Clinic/Center Mental Health (Including Community Mental Health Center)

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1962396580 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJun 6, 2025
Last updatedJun 6, 2025
StatusActive
Practice address 17 HAMPTON ST STE A
Mcdonough, GA 30253
(470) 962-2210
Mailing address 2224 JENNY DR
Fairburn, GA 30213
This record was updated on Jun 6, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1962396580 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 6 2 3 9 6 5 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 3 2 6 9 3 5 7

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1962396580?
NPI 1962396580 is the National Provider Identifier assigned to SACRED SPACE PSYCHIATRY CENTER LLC in Mcdonough, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health (Including Community Mental Health Center) cover?
Definition to come...
How do I contact SACRED SPACE PSYCHIATRY CENTER LLC?
The phone number on file with NPPES is (470) 962-2210, last updated Jun 6, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1962396580 a valid number?
Yes. 1962396580 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.