Healthcare Provider Details

I. General information

NPI: 1558229070
Provider Name (Legal Business Name): MPACS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3572 SARATOGA CIR
DECATUR GA
30034-6501
US

IV. Provider business mailing address

650 PONCE DE LEON AVE NE STE 300 #1543
ATLANTA GA
30308-1864
US

V. Phone/Fax

Practice location:
  • Phone: 615-509-2425
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS MCLEOD II
Title or Position: CEO/FOUNDER
Credential: PHD
Phone: 352-219-0483