Active NPI
Develabilities
- Clinical Psychologist
- Roswell, GA
National Provider Identifier
1962176933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- DEVELABILITIES
- Practice address
- 8015 Meadowsweet Trce
Roswell, GA 30076-3362 - Phone
- (770) 833-0885
- NPI assigned
- Aug 4, 2021
- Last updated
- Aug 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Waxman, PHD
- Title
- President
- Phone
- (770) 833-0885
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
8015 Meadowsweet Trce
Roswell, GA 30076-3362
Mailing address
8015 Meadowsweet Trce
Roswell, GA 30076-3362
National Provider Directory
National Provider DirectoryLocations
4360 Johnson Ferry Pl
#P
Marietta, GA 30068
Phone (770) 971-5870
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Woodstock, GA
- NPI 1578513404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1962176933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8015 MEADOWSWEET TRCE",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8015 MEADOWSWEET TRCE",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763362",
"telephone_number": "770-833-0885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELABILITIES",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A",
"authorized_official_last_name": "WAXMAN",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-833-0885",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.