Active NPI
Donald Carl Kent, PH.D.
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1639237696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 000302
- Practice address
- 2531 Briarcliff Rd NE
Suite 111
Atlanta, GA 30329-3017 - Phone
- (404) 321-6322
- NPI assigned
- Dec 4, 2006
- 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 Psychologist | 103TC0700X | 000302 | GA | Primary |
Addresses
Primary practice location
2531 Briarcliff Rd NE
Suite 111
Atlanta, GA 30329-3017
Mailing address
2531 Briarcliff Rd NE
Suite 111
Atlanta, GA 30329-3017
Phone (404) 321-6322
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086289 | Other | MHN | |
| 002511 | Other | GA | DISABILITY ADJUDICATION |
| 4603336 | Other | AETNA | |
| 63576440 | Other | UNITED BEHAVIORAL HEALTH | |
| A026700 | Other | VALUE OPTIONS |
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Joan Kent Or Dr. Donald Kent | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychologist
- Atlanta, GA
- NPI 1093968984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639237696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2531 BRIARCLIFF RD NE",
"address_2": "SUITE 111",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303293017",
"telephone_number": "404-321-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2531 BRIARCLIFF RD NE",
"address_2": "SUITE 111",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303293017",
"telephone_number": "404-321-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "DONALD",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "000302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "086289",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DISABILITY ADJUDICATION",
"identifier": "002511",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4603336",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "63576440",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A026700",
"state": null
}
],
"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 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.