Individual provider Active NPI

James F Degroot, PH. D

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1295068849
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY001054 Issued in GA
Practice address
2800 Shallowford Rd NE
Suit #B
Atlanta, GA 30341-5217
Phone
(770) 451-3558
Fax
(678) 835-0049
NPI assigned
Sep 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY001054 GA Primary

Addresses

Primary practice location

2800 Shallowford Rd NE
Suit #B
Atlanta, GA 30341-5217

Mailing address

2800 Shallowford Rd NE
Suit #B
Atlanta, GA 30341-5217
Phone (770) 451-3558

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

State licenses

LicenseStateTypeSpecialty
PSY001054GAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1295068849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SHALLOWFORD RD NE",
            "address_2": "SUIT #B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415217",
            "telephone_number": "770-451-3558",
            "fax_number": "678-835-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SHALLOWFORD RD NE",
            "address_2": "SUIT #B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415217",
            "telephone_number": "770-451-3558",
            "fax_number": "678-835-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROOT",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY001054",
            "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 Sep 15, 2009; 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.