Individual provider Active NPI

Joni E Prince, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1750496675
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1723 Issued in GA
Practice address
6065 Roswell Rd Ste 515
Atlanta, GA 30328-4015
Phone
(404) 461-9067
NPI assigned
Aug 20, 2006
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1723 GA Primary

Addresses

Primary practice location

6065 Roswell Rd Ste 515
Atlanta, GA 30328-4015

Mailing address

1185 Hightower TRL Unit 500356
Atlanta, GA 31150-3106
Phone (404) 461-9067

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050726001022 GA Practitioner - Clinical Psychologist 7517994072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6065 Roswell Rd
Suite 515
Atlanta, GA 30328-4015
Phone (404) 461-9067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1723GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joni E Prince PHD PC Clinical CurrentSince Feb 19, 1996 Accepting new patients

Locations

1185 Hightower Trl
Unit 500356
Atlanta, GA 31150

1 Glenlake Pkwy
Ste 700
Sandy Springs, GA 30328
Phone (205) 427-4375

1200 Abernathy Rd
Ste 1700
Sandy Springs, GA 30328
Phone (770) 350-2617

6065 Roswell Rd
Ste 515
Sandy Springs, GA 30328
Phone (312) 409-5425

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1750496675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 HIGHTOWER TRL UNIT 500356",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311503106",
            "telephone_number": "404-461-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 ROSWELL RD STE 515",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284015",
            "telephone_number": "404-461-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "JONI",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.