Organization Active NPI

Dr. Rachel N. Waford, LLC

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1801405881
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. RACHEL N. WAFORD, LLC
Practice address
1677 Jobeth Ave SE
Atlanta, GA 30316-2141
Phone
(470) 654-5223
NPI assigned
Jul 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Dr. Rachel Waford Hall, PHD
Title
Owner
Phone
(470) 654-5223

Specialties & licenses 1

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

Addresses

Primary practice location

1677 Jobeth Ave SE
Atlanta, GA 30316-2141

Mailing address

1677 Jobeth Ave SE
Atlanta, GA 30316-2141
Phone (470) 654-5223

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1801405881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 JOBETH AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162141",
            "telephone_number": "470-654-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 JOBETH AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162141",
            "telephone_number": "470-654-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RACHEL N. WAFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "WAFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-654-5223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 26, 2024; 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.