NPIMap

Organization Active NPI

Highland Psychological Services, LLC

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1972829885
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003067 Issued in GA
Legal business name
HIGHLAND PSYCHOLOGICAL SERVICES, LLC
Practice address
675 Seminole Ave NE
Suite 111
Atlanta, GA 30307-3408
Phone
(404) 593-4836
NPI assigned
Apr 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Tara W Ashbaugh, PHD
Title
Owner
Phone
(410) 905-1092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY003067 GA Primary

Addresses

Primary practice location

675 Seminole Ave NE
Suite 111
Atlanta, GA 30307-3408

Mailing address

675 Seminole Ave NE
Suite 111
Atlanta, GA 30307-3408

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1972829885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE",
            "address_2": "SUITE 111",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE",
            "address_2": "SUITE 111",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073408",
            "telephone_number": "404-593-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "ASHBAUGH",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-905-1092",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003067",
            "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 Jun 1, 2011; 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.