DR. JILL NICOLE DERMYER PSY.D.
NPI 1063758753
Psychologist - Clinical in Lilburn, GA

Q: What is Jill Dermyer's NPI number?

The NPI number for Jill Dermyer is 1063758753. It was assigned to this individual provider in the NPPES registry on December 27, 2012.

Q: What is Jill Dermyer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jill Dermyer was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 27, 2012

4437 CEDAR WOOD DR SW, LILBURN, GA 30047(706) 207-1450 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jill Nicole Dermyer Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JILL NICOLE DERMYER PSY.D. (NPI 1063758753) is an individual clinical provider in Lilburn, Georgia, licensed in Georgia (PSY004554) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1063758753

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JILL NICOLE DERMYERCredential: PSY.D.

Location Address4437 CEDAR WOOD DR SWLilburn, GA 30047-4214

Mailing Address4437 Cedar Wood Dr SwLilburn, GA 30047-4214 · (706) 207-1450

Phone(706) 207-1450

Sole ProprietorYes

Enumeration DateDecember 27, 2012

Last NPPES UpdateOctober 25, 2021

NPPES CertifiedOctober 25, 2021

✔ NPI 1063758753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY004554

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4437 CEDAR WOOD DR SW, Lilburn, GA 30047

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Dermyer's NPI number?

The NPI number for Jill Dermyer is 1063758753. It was assigned to this individual provider in the NPPES registry on December 27, 2012.

Where is Jill Dermyer located?

Jill Dermyer practices at 4437 Cedar Wood Dr SW, Lilburn, GA 30047. The listed phone number is (706) 207-1450.

What is Jill Dermyer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jill Dermyer was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.