Jennifer Strommen, ED.S

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1217312 Issued in GA

Practice address

3273 Natures Walk
Suwanee, GA 30024-2082

Phone

(305) 812-2423

NPI assigned

Aug 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1336694603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3273 NATURES WALK",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242082",
            "telephone_number": "305-812-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3273 NATURES WALK",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242082",
            "telephone_number": "305-812-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROMMEN",
        "first_name": "JENNIFER",
        "credential": "ED.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "1074246",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "GA",
            "license": "1217312",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OK",
            "license": "428513",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL PSYCHOLOGIST",
            "identifier": "428513",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL PSYCHOLOGIST",
            "identifier": "1074246",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL PSYCHOLOGIST",
            "identifier": "1217312",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• School Psychologist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• School Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.