Active NPI
Jessica Henry, PHD
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1205313954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY200001310
- Practice address
- 2250 N Druid Hills Rd NE Ste 132
Atlanta, GA 30329-3118 - Phone
- (703) 861-9165
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY200001310 | DC | Primary |
Addresses
Primary practice location
2250 N Druid Hills Rd NE Ste 132
Atlanta, GA 30329-3118
Mailing address
Unity Health Care, Inc.
1100 New Jersey Avenue SE Suite 500
Washington, DC 20003
Phone (202) 469-4699
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY200001310 | DC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1205313954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNITY HEALTH CARE, INC.",
"address_2": "1100 NEW JERSEY AVENUE SE SUITE 500",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20003",
"telephone_number": "202-469-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 N DRUID HILLS RD NE STE 132",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303293118",
"telephone_number": "703-861-9165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2022-03-30",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY200001310",
"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 Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.