Margaret Jaffe Ash, PHD
Individual provider Active NPI Clinical Psychologist · Atlanta, GA
NPI 1023136256 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023136256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY001875 (GA)
- Practice address
- 3500 Piedmont Road NE
Suite 775
Atlanta, GA 30305 - Phone
- (404) 351-2008
- Fax
- (404) 351-0243
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 7, 2016 through Feb 7, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY001875 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Psychiatric Professionals PC | Past | Accepting new patients | |
| Peachtree Psychiatric Professionals, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY001875 | GA | Yes |
Addresses
Primary practice location
3500 Piedmont Road NE
Suite 775
Atlanta, GA 30305
Mailing address
802 Lullwater Road NE
Atlanta, GA 30307-1240
Phone (404) 373-5954
Other names
- Margaret Jaffe
Other providers in Atlanta, GA
- Ascension Physical Therapy and Performance Institute of Georgia LLC
- Ascension Wellness Inc
- Seth Aschen
- Kellye Brown Aschmeyer
- Nicole Camille Ash-Mapp
- Peter Ash
- Sheree King Ash
- William Ronan Ash
- Victor Nana-Osei Ashbey
- Beverly Ashby
All providers in Atlanta, GA · Clinical Psychologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.