Active NPI
Linda W Craighead, PH.D.
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1700936408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS-T000791
- Practice address
- 36 Eagle Row Emory University
Atlanta, GA 30322-0001 - Phone
- (404) 727-7558
- Fax
- (404) 727-0372
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PS-T000791 | GA | Primary |
Addresses
Primary practice location
36 Eagle Row Emory University
Atlanta, GA 30322-0001
Mailing address
1903 Ridgewood Dr NE
Atlanta, GA 30307-1154
Phone (404) 861-3738
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS-T000791 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1700936408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 RIDGEWOOD DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303071154",
"telephone_number": "404-861-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 EAGLE ROW EMORY UNIVERSITY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220001",
"telephone_number": "404-727-7558",
"fax_number": "404-727-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIGHEAD",
"first_name": "LINDA",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PS-T000791",
"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 8, 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.