Active NPI
M. Jane Yates, PH.D.
- Psychologist
- Atlanta, GA
National Provider Identifier
1841340916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY000996
- Practice address
- 1772 Century Blvd NE
Atlanta, GA 30345-3396 - Phone
- (404) 248-1159
- Fax
- (404) 248-9776
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY000996 | GA | Primary |
Addresses
Primary practice location
1772 Century Blvd NE
Atlanta, GA 30345-3396
Mailing address
1772 Century Blvd NE
Atlanta, GA 30345-3396
Phone (404) 248-1159
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY000996 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Gilson PHD PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Atlanta, GA
- NPI 1033394820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841340916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1772 CENTURY BLVD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453396",
"telephone_number": "404-248-1159",
"fax_number": "404-248-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1772 CENTURY BLVD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453396",
"telephone_number": "404-248-1159",
"fax_number": "404-248-9776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "M.",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY000996",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.