Individual provider Active NPI

John J Parrino, PHD

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1750466199
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
000285 Issued in GA
Practice address
990 Hammond Dr NE
Ste 575
Atlanta, GA 30328-5529
Phone
(404) 843-1612
Fax
(404) 843-0948
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 000285 GA Primary

Addresses

Primary practice location

990 Hammond Dr NE
Ste 575
Atlanta, GA 30328-5529

Mailing address

990 Hammond Dr NE
Ste 575
Atlanta, GA 30328-5529
Phone (404) 843-1612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 24, 2016 through Feb 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000285GAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1750466199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HAMMOND DR NE",
            "address_2": "STE 575",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285529",
            "telephone_number": "404-843-1612",
            "fax_number": "404-843-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HAMMOND DR NE",
            "address_2": "STE 575",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285529",
            "telephone_number": "404-843-1612",
            "fax_number": "404-843-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRINO",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "000285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.