Jessica Newman Buchholz, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY004044 Issued in GA

Practice address

3160 Main St Ste 102
Duluth, GA 30096

Phone

(470) 736-9595

Fax

(678) 550-9093

NPI assigned

Sep 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1679908578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 MAIN ST STE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963461",
            "telephone_number": "470-736-9595",
            "fax_number": "678-550-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 MAIN ST STE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "470-736-9595",
            "fax_number": "678-550-9093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 S Berkeley Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Berkeley Lake",
            "state": "GA",
            "postal_code": "300711660",
            "country_code": "US",
            "telephone_number": "770-446-5642 x180",
            "fax_number": "770-446-5643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4530 S Berkeley Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Berkeley Lake",
            "state": "GA",
            "postal_code": "300711660",
            "country_code": "US",
            "telephone_number": "770-446-5642 x180",
            "fax_number": "770-446-5643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "JESSICA",
        "middle_name": "NEWMAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudette Brumant
• Keynocha Brunson Allmond, MHA, CMA, CPTI
• Kelly Dawn Bryant, MS, RDN, LD
• Anthony Buccafurno, DC
• John Buchanan, FNP
• Daniel Buchmann, D.C.
• Ritu Budhraja
• Justin David Buell
• Caroline Elizabeth Lozen Bufalini, LCSW
• Ruslana Bugera

• Clinical Psychologist in Duluth, GA
• Providers in Duluth, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.