Individual provider Active NPI

John Goss Herbert, M.D.

  • Psychoanalyst
  • Atlanta, GA
National Provider Identifier
1053658989
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
10566 Issued in GA
Practice address
3400 Peachtree Rd NE
Lenox Towers, Suite 915
Atlanta, GA 30326-1170
Phone
(404) 261-1373
NPI assigned
Jan 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 10566 GA Primary

Addresses

Primary practice location

3400 Peachtree Rd NE
Lenox Towers, Suite 915
Atlanta, GA 30326-1170

Mailing address

3400 Peachtree Rd NE
Lenox Towers, Suite 915
Atlanta, GA 30326-1170
Phone (404) 261-1373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1053658989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 PEACHTREE RD NE",
            "address_2": "LENOX TOWERS, SUITE 915",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261170",
            "telephone_number": "404-261-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 PEACHTREE RD NE",
            "address_2": "LENOX TOWERS, SUITE 915",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261170",
            "telephone_number": "404-261-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "JOHN",
        "middle_name": "GOSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "GA",
            "license": "10566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.