Jessica Haley Geddes, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003728 Issued in GA

Practice address

595 Wimbledon Rd NE
Atlanta, GA 30324-4965

Phone

(678) 743-1682

NPI assigned

Oct 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hummingbird Counseling & Consulting, LLC

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1457740474
  NPD (past) Authorized official
• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1720483340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 WILLIVEE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334129",
            "telephone_number": "678-743-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 WIMBLEDON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244965",
            "telephone_number": "678-743-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDES",
        "first_name": "JESSICA",
        "middle_name": "HALEY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "PSY003728",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nega Bizuneh Gebremariam, MD
• Bereket Okube Gebremedhin, APRN
• Samel T Gebresilasie
• Samuel Gebreyonas, NP
• Steve Gedaly
• Satyanarayana Gedela, MD
• Francesca Carmel Gedeon
• Beatrice Gee, MD
• Julie Marie Gee, VMD
• Bashir Ahmed Geer, M.D.

• 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 Oct 24, 2014; 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.