Jonathan D. Hauser, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

GA002374 Issued in GA

Practice address

101 Devant Street Ste 705
Carnegie Behavioral Health
Fayetteville, GA 30214-2717

Phone

(770) 716-6012

Fax

(770) 716-6013

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1730102245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DEVANT STREET STE 705",
            "address_2": "CARNEGIE BEHAVIORAL HEALTH",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142717",
            "telephone_number": "770-716-6012",
            "fax_number": "770-716-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT STREET STE 705",
            "address_2": "CARNEGIE BEHAVIORAL HEALTH",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142717",
            "telephone_number": "770-716-6012",
            "fax_number": "770-716-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "JONATHAN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "002374",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "GA002374",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000857095B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Angela Harvey, NP
• Arlene C Hawkins
• Lindsay B Hayat, AU.D.
• Rashenah Hayati
• Haycock Endodontics, Inc.
• John Haycock, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.