Active NPI
Jillian Whatley
- School Psychologist
- Morrow, GA
National Provider Identifier
1952842064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 7130 Mount Zion Cir
Suite 7
Morrow, GA 30260-3308 - Phone
- (404) 661-0867
- NPI assigned
- Mar 9, 2017
- Last updated
- Mar 9, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | NU | Primary | |
| Psychoanalyst | 102L00000X | NU |
Addresses
Primary practice location
7130 Mount Zion Cir
Suite 7
Morrow, GA 30260-3308
Mailing address
1816 Temple Park Drive
Loganville, GA 30052
Phone (404) 661-0867
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1952842064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 TEMPLE PARK DRIVE",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "30052",
"telephone_number": "404-661-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7130 MOUNT ZION CIR",
"address_2": "SUITE 7",
"city": "MORROW",
"state": "GA",
"postal_code": "302603308",
"telephone_number": "404-661-0867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHATLEY",
"first_name": "JILLIAN",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrow, GA
- Lorie P. Weikers, O.D.
- William Sid Wells
- Wellstar Atlanta Medical Center, Inc (WellStar Atlanta Medical Center Pt. B Services)
- Wellstar Atlanta Medical Center, Inc
- Amber Elizabeth Were, DDS
- Colay Anquanette White, O.D.
- Duana White, LCSW
- Andre Whitehead, OD
- Michele Lee Wiegmann-Ross, CPNP
- Angela Annette Williams
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.