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JESSICA PAN CONKLIN PHD
NPI 1154870814
Clinical Neuropsychologist in Atlanta, GA

Active since September 22, 2016
3500 PIEDMONT RD NE STE 740, ATLANTA, GA 30305(404) 875-2050 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2023, Sep 22, 2016 (2 updates tracked since 2016).

About Jessica Pan Conklin Phd NPPES

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

JESSICA PAN CONKLIN PHD (NPI 1154870814) is an individual clinical neuropsychologist in Atlanta, Georgia and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1154870814
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameJESSICA PAN CONKLINCredential: PHD
Location Address3500 PIEDMONT RD NE STE 740Atlanta, GA 30305-1507
Mailing Address2620 Talley StDecatur, GA 30030-4125 · (617) 230-1167
Phone(404) 875-2050
Sole ProprietorYes
Enumeration DateSeptember 22, 2016
Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1154870814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3500 PIEDMONT RD NE STE 740, Atlanta, GA 30305
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Other Names 1

Former Name (1)Jessica Jie Pan

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE ATLANTA PSYCHOLOGY GROUP
Psychologist (Clinical)
3500 PIEDMONT RD NE STE 740
ATLANTA, GA 30305
Fulton County (404) 875-2050
DR. CORBIN CARNEY FEROLETO PH.D.
Clinical Neuropsychologist
3500 PIEDMONT RD NE STE 740
ATLANTA, GA 30305
Fulton County (404) 875-2050
EMILY SHAY BRYANT PH.D.
Psychologist (Clinical)
3500 PIEDMONT RD NE STE 740
ATLANTA, GA 30305
Fulton County (404) 875-2050
DR. FONTINA RASHID PH.D.
Psychologist (Clinical)
3500 PIEDMONT RD NE STE 740
ATLANTA, GA 30305
Fulton County (404) 875-2050

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 Jessica Conklin's NPI number?

The NPI number for Jessica Conklin is 1154870814. It was assigned to this individual provider in the NPPES registry on September 22, 2016. The provider is also known as Jessica Jie Pan.

Where is Jessica Conklin located?

Jessica Conklin practices at 3500 Piedmont Rd NE Ste 740, Atlanta, GA 30305. The listed phone number is (404) 875-2050.

What is Jessica Conklin's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Jessica Conklin was last updated on July 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.