Active NPI
Forrest Gordon Hutchings III, ED.D.
- Psychologist
- Atlanta, GA
National Provider Identifier
1942316971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY001889
- Practice address
- 22B Lenox Pointe NE
Atlanta, GA 30324-3169 - Phone
- (404) 325-0100
- Fax
- (404) 237-9050
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC001940 | GA | |
| Psychologist | 103T00000X | PSY001889 | GA | Primary |
| Marriage & Family Therapist | 106H00000X | MFT000810 | GA |
Addresses
Primary practice location
22B Lenox Pointe NE
Atlanta, GA 30324-3169
Mailing address
22B Lenox Pointe NE
Atlanta, GA 30324-3169
Phone (404) 325-0100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT000810 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1942316971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22B LENOX POINTE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243169",
"telephone_number": "404-325-0100",
"fax_number": "404-237-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22B LENOX POINTE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243169",
"telephone_number": "404-325-0100",
"fax_number": "404-237-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINGS",
"first_name": "FORREST",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC001940",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY001889",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT000810",
"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 Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.