Active NPI
Julie A Kable, PHD
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1205916517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY002085
- Practice address
- 1256 Briarcliff Rd NE
Atlanta, GA 30306 - Phone
- (404) 712-9800
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PSY002085 | GA | Primary |
Addresses
Primary practice location
1256 Briarcliff Rd NE
Atlanta, GA 30306
Mailing address
1256 Briarcliff Rd
Enec
Atlanta, GA 30306
Phone (404) 712-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000738438A | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1205916517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 BRIARCLIFF RD",
"address_2": "ENEC",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30306",
"telephone_number": "404-712-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1256 BRIARCLIFF RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30306",
"telephone_number": "404-712-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABLE",
"first_name": "JULIE",
"middle_name": "A",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY002085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000738438A",
"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 Feb 28, 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.