JILL LEVEY WAXMAN PHD
NPI 1578513404
Psychologist - Clinical in Woodstock, GA

Q: What is Jill Waxman's NPI number?

The NPI number for Jill Waxman is 1578513404. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Jill Waxman'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 Waxman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 May 11, 2006

105 ARNOLD MILL RD, WOODSTOCK, GA 30188(770) 926-0016(770) 926-0969 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jill Levey Waxman Phd NPPES

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

JILL LEVEY WAXMAN PHD (NPI 1578513404) is an individual clinical provider in Woodstock, Georgia, licensed in Georgia (PSY002824) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1578513404

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJILL LEVEY WAXMANCredential: PHD

Location Address105 ARNOLD MILL RDWoodstock, GA 30188-5027

Mailing Address1540 Heath LnMarietta, GA 30062-5901 · (770) 833-0885 · Fax (770) 565-7522

Phone(770) 926-0016

Fax(770) 926-0969

Sole ProprietorNo

Enumeration DateMay 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1578513404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY002824

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.

105 ARNOLD MILL RD, Woodstock, GA 30188

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Other Identifiers 1

Medicare ID-Type Unspecified68BBGMWGA

Other Providers at the Same Location NPPES 12

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

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Psychologist (Clinical)