Individual provider Active NPI

Tiffany Joel

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1700747516
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY900254 Issued in GA
Practice address
1101 Juniper St NE Apt 1015
Atlanta, GA 30309-7665
Phone
(404) 310-7395
NPI assigned
Nov 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY900254 GA Primary

Addresses

Primary practice location

1101 Juniper St NE Apt 1015
Atlanta, GA 30309-7665

Mailing address

1101 Juniper St NE Apt 1015
Atlanta, GA 30309-7665
Phone (404) 310-7395

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

State licenses

LicenseStateTypeSpecialty
PSY900254GAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1700747516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 JUNIPER ST NE APT 1015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097665",
            "telephone_number": "404-310-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JUNIPER ST NE APT 1015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097665",
            "telephone_number": "404-310-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOEL",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY900254",
            "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 Nov 20, 2025; 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.