Individual provider Active NPI

Nadya Hollahan, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1699969709
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003278 Issued in GA
Practice address
1955 Cliff Valley Way NE
Suite 115
Atlanta, GA 30329-2476
Phone
(678) 358-7112
Fax
(678) 261-6545
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X PSY003278 GA Primary

Addresses

Primary practice location

1955 Cliff Valley Way NE
Suite 115
Atlanta, GA 30329-2476

Mailing address

2131 Woodmoor LN
Decatur, GA 30033-5440
Phone (678) 358-7112

Other names 1

  • Nadya Khatchikian Other name

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

LicenseStateTypeSpecialty
PSY003278GAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1699969709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 WOODMOOR LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335440",
            "telephone_number": "678-358-7112",
            "fax_number": "678-261-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 CLIFF VALLEY WAY NE",
            "address_2": "SUITE 115",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292476",
            "telephone_number": "678-358-7112",
            "fax_number": "678-261-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAHAN",
        "first_name": "NADYA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADYA",
            "last_name": "KHATCHIKIAN",
            "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 Nov 6, 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.