Active NPI
Sunaina Rao Jain, PHD
- Psychologist
- Decatur, GA
National Provider Identifier
1629126156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY000696
- Practice address
- 120 East Trinity Place
Decatur, GA 30030-3302 - Phone
- (404) 378-2300
- Fax
- (404) 378-2394
- NPI assigned
- Jan 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PSY000696 | GA | Primary |
Addresses
Primary practice location
120 East Trinity Place
Decatur, GA 30030-3302
Mailing address
120 East Trinity Place
Decatur, GA 30030-3302
Phone (404) 378-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00206632F | Medicaid | GA |
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 |
|---|---|---|---|
| PSY000696 | GA | MD | Psychologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Social Worker
- Decatur, GA
- NPI 1508913963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629126156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 EAST TRINITY PLACE",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303302",
"telephone_number": "404-378-2300",
"fax_number": "404-378-2394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 EAST TRINITY PLACE",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303302",
"telephone_number": "404-378-2300",
"fax_number": "404-378-2394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "SUNAINA",
"middle_name": "RAO",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY000696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00206632F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
- Emily Katz Jaeger, D.P.T.
- Alysha S Jaffer, PHYSICIAN ASSISTANT
- Layla S. Jaffree, M.D.
- Syed Mohammad Akbar Jafri, M.D.
- Jaime Filler LMFT, LLC (Aspen Grove Counseling and Wellness)
- James D. Heinz, D.C. Inc. (Family Chiropractic of DeKalb)
- Kyunti James-Thorpe, MD
- Arianne James
- Bailey James
- Brianna James
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.