Individual provider Active NPI

Sherry Hills, PSY.D.

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1356586903
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY3176 Issued in GA
Practice address
4780 Ashford Dunwoody Rd Ste 540-388
Atlanta, GA 30338-5564
Phone
(404) 934-8192
NPI assigned
Dec 11, 2008
Reactivated
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY003176 GA
Clinical Psychologist 103TC0700X PSY3176 GA Primary

Addresses

Primary practice location

4780 Ashford Dunwoody Rd Ste 540-388
Atlanta, GA 30338-5564

Mailing address

4780 Ashford Dunwoody Rd Ste 540-388
Atlanta, GA 30338-5564
Phone (404) 934-8192

Other practice location 1

6080 Lakeview Rd Apt 3302
Warner Robins, GA 31088-9155
Phone (404) 934-8192

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

State licenses

LicenseStateTypeSpecialty
PSY003176GAMDPsychologist
PSY3176GAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1356586903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 ASHFORD DUNWOODY RD STE 540-388",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385564",
            "telephone_number": "404-934-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 ASHFORD DUNWOODY RD STE 540-388",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385564",
            "telephone_number": "404-934-8192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6080 Lakeview Rd Apt 3302",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310889155",
            "country_code": "US",
            "telephone_number": "404-934-8192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLS",
        "first_name": "SHERRY",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "deactivation_date": "2020-05-27",
        "reactivation_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003176",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY3176",
            "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 Jun 11, 2020; 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.