Organization Active NPI

Dr. Joan Kent Or Dr. Donald Kent

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1093968984
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
343 Issued in GA
Legal business name
DR. JOAN KENT OR DR. DONALD KENT
Practice address
2531 Briarcliff Rd NE
Suite 111
Atlanta, GA 30329-3017
Phone
(404) 321-6322
NPI assigned
Oct 23, 2008
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Dr. Joan H Kent, PH.D.NPI 1366500324
Title
Owner
Phone
(404) 321-6322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 302 GA
Psychologist 103T00000X 343 GA Primary

Addresses

Primary practice location

2531 Briarcliff Rd NE
Suite 111
Atlanta, GA 30329-3017

Mailing address

2531 Briarcliff Rd NE
Suite 111
Atlanta, GA 30329-3017
Phone (404) 321-6322

Other identifiers 3

IdentifierTypeStateIssuer
1639237696OtherGACAHABA CMS
1093968984OtherGACMS CAHABA
1366500324OtherGACAHABA CMS

Other names 1

  • Drs Joan or Donald Kent Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040506000042 GA Part B Supplier - Clinic/Group Practice 1850389867 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2531 Briarcliff Rd NE
Ste 111
Atlanta, GA 30329
Phone (404) 321-0250

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1093968984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 BRIARCLIFF RD NE",
            "address_2": "SUITE 111",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293017",
            "telephone_number": "404-321-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 BRIARCLIFF RD NE",
            "address_2": "SUITE 111",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293017",
            "telephone_number": "404-321-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOAN KENT OR DR. DONALD KENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-321-6322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "302",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAHABA CMS",
            "identifier": "1639237696",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CAHABA",
            "identifier": "1093968984",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAHABA CMS",
            "identifier": "1366500324",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Joan or Donald Kent",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.