Dermyne & Dwyer LLC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

DERMYNE & DWYER LLC

Practice address

675 Seminole Ave NE
Suite 307
Atlanta, GA 30307-3408

Phone

(678) 701-9559

NPI assigned

Sep 2, 2014

Last updated

Sep 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jill Nicole Dermyer, PSY.D.

Title

Postdoctoral Fellow

Phone

(678) 701-9559

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1750781340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE",
            "address_2": "SUITE 307",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073408",
            "telephone_number": "678-701-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE",
            "address_2": "SUITE 307",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073408",
            "telephone_number": "678-701-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMYNE & DWYER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "DERMYER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "POSTDOCTORAL FELLOW",
        "authorized_official_telephone_number": "678-701-9559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Student in an Organized Health Care Education/Training Program in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.