Active NPI
Carli Hague Reis, PHD
- Psychologist
- Atlanta, GA
National Provider Identifier
1528343407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY003483
- Practice address
- 2045 Peachtree Rd
Suite 150
Atlanta, GA 30309 - Phone
- (404) 403-0037
- NPI assigned
- Oct 11, 2011
- Last updated
- Mar 20, 2012
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY003483 | GA | Primary |
Addresses
Primary practice location
2045 Peachtree Rd
Suite 150
Atlanta, GA 30309
Mailing address
717 Channing Drive NW
Atlanta, GA 30318
Phone (678) 995-5640
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 |
|---|---|---|---|
| PSY003483 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1528343407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 CHANNING DRIVE NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30318",
"telephone_number": "678-995-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 PEACHTREE RD",
"address_2": "SUITE 150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "404-403-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIS",
"first_name": "CARLI",
"middle_name": "HAGUE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003483",
"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 Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.