Organization Active NPI

Susan M. Hay, Psy.D. PC

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1558508754
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003205 Issued in GA
Legal business name
SUSAN M. HAY, PSY.D. PC
Practice address
2308 Perimeter Park Dr
Suite 100
Atlanta, GA 30341-1316
Phone
(770) 457-5577
Fax
(770) 457-5599
NPI assigned
Jan 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Dr. Susan M Hay, PSY.D.
Title
Psychologist/Owner
Phone
(770) 457-5577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY003205 GA Primary

Addresses

Primary practice location

2308 Perimeter Park Dr
Suite 100
Atlanta, GA 30341-1316

Mailing address

2308 Perimeter Park Dr
Suite 100
Atlanta, GA 30341-1316
Phone (770) 457-5577

Other identifiers 1

IdentifierTypeStateIssuer
553672533AMedicaidGA

Other names 1

  • Susan M. Hay, Psy.D. PC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1558508754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 PERIMETER PARK DR",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411316",
            "telephone_number": "770-457-5577",
            "fax_number": "770-457-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 PERIMETER PARK DR",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411316",
            "telephone_number": "770-457-5577",
            "fax_number": "770-457-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M. HAY, PSY.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-10",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "770-457-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "553672533A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan M. Hay, Psy.D. PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 12, 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.