Active NPI
Eric Hartman, PSY.D.
- Clinical Child & Adolescent Psychologist
- Atlanta, GA
National Provider Identifier
1598068298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 003426
- Practice address
- 1100 Johnson Ferry Rd NE
Suite 1090
Atlanta, GA 30342-1709 - Phone
- (404) 847-9560
- NPI assigned
- Dec 19, 2010
- Sex
- Male
- 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 Child & Adolescent Psychologist | 103TC2200X | 003426 | GA | Primary |
Addresses
Primary practice location
1100 Johnson Ferry Rd NE
Suite 1090
Atlanta, GA 30342-1709
Mailing address
1100 Johnson Ferry Rd NE
Suite 1090
Atlanta, GA 30342-1709
Phone (404) 847-9560
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003426 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292716800000",
"number": "1598068298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 JOHNSON FERRY RD NE",
"address_2": "SUITE 1090",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421709",
"telephone_number": "404-847-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 JOHNSON FERRY RD NE",
"address_2": "SUITE 1090",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421709",
"telephone_number": "404-847-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-19",
"last_updated": "2010-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "GA",
"license": "003426",
"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 Dec 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.