Jennifer Smith, Psy.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3053 Issued in GA

Legal business name

JENNIFER SMITH, PSY.D., P.C.

Practice address

3308A Northcrest Rd
Atlanta, GA 30340-4012

Phone

(404) 808-0101

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Smith

Title

Owner/Psychologist

Phone

(404) 808-0101

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1992960199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308A NORTHCREST RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404012",
            "telephone_number": "404-808-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308A NORTHCREST RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404012",
            "telephone_number": "404-808-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SMITH, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-808-0101",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "3053",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "GA",
            "license": "3053",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "3053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethanne Jenks, MD
• Helen Gates Jenne, PSY.D.
• Travis B Jenney, PAAA
• Jennifer H Jones
• Jennifer Shapiro Nutrition LLC
• Brittany L Jennings, PT, DPT
• Christine Ann Jennings, RN, CNM
• Eric Douglas Jennings, MD
• Nancy C Jennings
• Noelle L Jennings, DO

• All providers in Atlanta, GA
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.