Jaymie Helen Luckow Fox, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002999 Issued in GA

Practice address

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

Phone

(770) 457-5577

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jaymie Helen Luckow Fox Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1285706960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 HOWELL FARMS DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018833",
            "telephone_number": "678-923-6795"
        },
        {
            "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": {
        "last_name": "LUCKOW FOX",
        "first_name": "JAYMIE",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380415072A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYMIE",
            "last_name": "LUCKOW FOX",
            "middle_name": "HELEN",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher W Lucius, MD
• Chyrisse H Luck, RN BSN MS
• Latoya Luck
• Danielle Luckett, LPC
• Maisoon Said Luckhurst, FNP-C
• Eleanor Ludecke, CNP
• James Ludemann, MSN, APRN, CPNP-AC
• Gary A. Ludi, M.D.
• Heather Ludi, PAAA
• Eve Simone Ludy, RN

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• 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.