Active NPI
Jacqueline N Hill, PH.D.
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1306924014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 455
- Practice address
- 4200 Northside Pkwy NW
BLDG. 6
Atlanta, GA 30327-3054 - Phone
- (404) 261-0748
- NPI assigned
- Nov 1, 2006
- 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 | 455 | GA | Primary |
Addresses
Primary practice location
4200 Northside Pkwy NW
BLDG. 6
Atlanta, GA 30327-3054
Mailing address
4200 Northside Pkwy BLDG 6
Atlanta Psychological Center
Atlanta, GA 30327
Phone (404) 261-0748
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 |
|---|---|---|---|
| 455 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306924014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 NORTHSIDE PKWY BLDG 6",
"address_2": "ATLANTA PSYCHOLOGICAL CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30327",
"telephone_number": "404-261-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 NORTHSIDE PKWY NW",
"address_2": "BLDG. 6",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303273054",
"telephone_number": "404-261-0748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "JACQUELINE",
"middle_name": "N",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "455",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.