Individual provider Active NPI

Jill Janssen

  • School Psychologist
  • Atlanta, GA
National Provider Identifier
1912632365
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
393384 Issued in GA
Practice address
3400 Stratford Rd NE Apt 1001
Atlanta, GA 30326-1702
Phone
(478) 206-4498
NPI assigned
Jul 20, 2022
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 393384 GA Primary

Addresses

Primary practice location

3400 Stratford Rd NE Apt 1001
Atlanta, GA 30326-1702

Mailing address

3400 Stratford Rd NE Apt 1001
Atlanta, GA 30326-1702
Phone (478) 206-4498

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL powerfulquestions.us

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

LicenseStateTypeSpecialty
393384GAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1912632365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 STRATFORD RD NE APT 1001",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261702",
            "telephone_number": "478-206-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 STRATFORD RD NE APT 1001",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261702",
            "telephone_number": "478-206-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "JILL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "GA",
            "license": "393384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "powerfulquestions.us",
            "affiliation": "N",
            "endpointDescription": "q",
            "address_1": "3400 Stratford Rd NE Apt 1001",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303261702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 20, 2022; 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.