NPIMap

Organization Active NPI

Develabilities, LLC

  • Clinical Psychologist
  • Woodstock, GA
National Provider Identifier
1114083839
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DEVELABILITIES, LLC
Practice address
105 Arnold Mill Rd
Woodstock, GA 30188-5027
Phone
(770) 926-0016
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jill Levey Waxman, PH.D.NPI 1578513404
Title
Owner
Phone
(770) 833-0885

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

105 Arnold Mill Rd
Woodstock, GA 30188-5027

Mailing address

1540 Heath LN
Marietta, GA 30062-5901
Phone (770) 833-0885

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114083839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 HEATH LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625901",
            "telephone_number": "770-833-0885",
            "fax_number": "770-565-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ARNOLD MILL RD",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885027",
            "telephone_number": "770-926-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELABILITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAXMAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "LEVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-833-0885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.