NPIMap

Organization Active NPI

Betsy Hoddinott, PH.D. P.C.

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1780896555
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
650 Issued in GA
Legal business name
BETSY HODDINOTT, PH.D. P.C.
Practice address
1759 Indiana Ave NE
Atlanta, GA 30307-2221
Phone
(404) 378-7108
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Bobbie Hightower
Title
Contact Person
Phone
(478) 405-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 650 GA Primary

Addresses

Primary practice location

1759 Indiana Ave NE
Atlanta, GA 30307-2221

Mailing address

PO Box 27270
Macon, GA 31221-7270

Other identifiers 1

IdentifierTypeStateIssuer
00373293AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1780896555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27270",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312217270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 INDIANA AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072221",
            "telephone_number": "404-378-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETSY HODDINOTT, PH.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "CONTACT PERSON",
        "authorized_official_telephone_number": "478-405-5880"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00373293A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.