Jacqueline Royal-Bryant, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

01745 Issued in GA

Practice address

1995 N Park PL SE Ste 310U
Atlanta, GA 30339-2186

Phone

(678) 283-2883

Fax

(866) 936-2296

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1720138050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 N PARK PL SE STE 310U",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392186",
            "telephone_number": "678-283-2883",
            "fax_number": "866-936-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 N PARK PL SE STE 310U",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392186",
            "telephone_number": "678-283-2883",
            "fax_number": "866-936-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAL-BRYANT",
        "first_name": "JACQUELINE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "01745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00558797C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajasree Roy, M.D.
• Sharon Roy, MD MPH
• Royal Beginnings Therapy
• Royal Prestige Transportation LLC
• Royal Residential Homecare, LLC
• Halee Royal
• Jeremy Todd Royal, M.D.
• Sydney Royes, LCSW
• Merissa Neshun Royster, FNP-BC
• Robert Marvin Royster, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.