Active NPI
Peter Daniel Hauge, PSY.D
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1811346950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY004334
- Practice address
- 353 Ferst Dr NW
Atlanta, GA 30318-5602 - Phone
- (404) 895-9181
- NPI assigned
- Jun 9, 2016
- Last updated
- Jun 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Clinical Psychologist | 103TC0700X | PSY004334 | GA | Primary |
| Counseling Psychologist | 103TC1900X | PSY004334 | GA |
Addresses
Primary practice location
353 Ferst Dr NW
Atlanta, GA 30318-5602
Mailing address
401 17TH St NW Apt 5301
Atlanta, GA 30363-1043
Other practice location 1
793 Old Route 119 Hwy N
Indiana, PA 15701-1372
Phone (724) 465-5576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY004334 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1811346950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 17TH ST NW APT 5301",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303631043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 FERST DR NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303185602",
"telephone_number": "404-895-9181"
}
],
"practiceLocations": [
{
"address_1": "793 Old Route 119 Hwy N",
"address_purpose": "LOCATION",
"city": "Indiana",
"state": "PA",
"postal_code": "157011372",
"country_code": "US",
"telephone_number": "724-465-5576",
"fax_number": "724-465-6379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUGE",
"first_name": "PETER",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY004334",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "GA",
"license": "PSY004334",
"primary": false
}
],
"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 Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.