NPIMap

Organization Active NPI

Caroline L Sherrill PHD PC

  • Clinical Child & Adolescent Psychologist
  • Atlanta, GA
National Provider Identifier
1700087541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
2112 Issued in GA
Legal business name
CAROLINE L SHERRILL PHD PC
Practice address
6000 Lake Forrest Drive
Suite 103
Atlanta, GA 30328
Phone
(404) 256-9325
Fax
(404) 256-3662
NPI assigned
May 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Caroline L Sherrill, PHD
Title
President
Phone
(404) 256-9325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 2112 GA Primary

Addresses

Primary practice location

6000 Lake Forrest Drive
Suite 103
Atlanta, GA 30328

Mailing address

6000 Lake Forrest Drive
Suite 103
Atlanta, GA 30328
Phone (404) 256-9325

National Provider Directory

National Provider Directory

Locations

6000 Lake Forrest Dr
Ste 103
Sandy Springs, GA 30328
Phone 4042569325 ext. 727

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700087541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 LAKE FORREST DRIVE",
            "address_2": "SUITE 103",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-256-9325",
            "fax_number": "404-256-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 LAKE FORREST DRIVE",
            "address_2": "SUITE 103",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-256-9325",
            "fax_number": "404-256-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE L SHERRILL PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERRILL",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-256-9325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "2112",
            "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 Aug 22, 2020; 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.