NPIMap

Organization Active NPI

Jaymie L. Fox, Psy.D. P.C

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1174780084
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY002999 Issued in GA
Legal business name
JAYMIE L. FOX, PSY.D. P.C
Practice address
2308 Perimeter Park Dr
Suite 100
Atlanta, GA 30341-1316
Phone
(770) 457-5577
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Jaymie Helen Luckow Fox, PSY.D.
Title
Psychologist
Phone
(770) 457-5577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY002999 GA Primary

Addresses

Primary practice location

2308 Perimeter Park Dr
Suite 100
Atlanta, GA 30341-1316

Mailing address

2308 Perimeter Park Dr
Suite 100
Atlanta, GA 30341-1316
Phone (770) 457-5577

Other identifiers 1

IdentifierTypeStateIssuer
380415072AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1174780084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 PERIMETER PARK DR",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411316",
            "telephone_number": "770-457-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 PERIMETER PARK DR",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411316",
            "telephone_number": "770-457-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYMIE L. FOX, PSY.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "LUCKOW  FOX",
        "authorized_official_first_name": "JAYMIE",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "770-457-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380415072A",
            "state": "GA"
        }
    ],
    "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 May 22, 2008; 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.