1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Psychiatry Neurology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNICA PHENIDE BOUQUET
NPI 1962039719
Psychiatry & Neurology - Child & Adolescent Psychiatry in Atlanta, GA

Active since March 23, 2020
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329(404) 785-8328 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2023, Mar 23, 2020 (2 updates tracked since 2020).

About Jennica Phenide Bouquet NPPES

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

JENNICA PHENIDE BOUQUET (NPI 1962039719) is an individual child & adolescent psychiatry provider in Atlanta, Georgia, licensed in Georgia (114256) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1962039719
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameJENNICA PHENIDE BOUQUET
Location Address1920 BRIARCLIFF RD NEAtlanta, GA 30329-4010
Mailing Address1920 Briarcliff Rd NeAtlanta, GA 30329-4010 · (404) 785-8328
Phone(404) 785-8328
Sole ProprietorNo
Enumeration DateMarch 23, 2020
Last NPPES UpdateOctober 19, 20262 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1962039719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in GA · 114256
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1920 BRIARCLIFF RD NE, Atlanta, GA 30329
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

JENNIFER STAPEL-WAX PSYD
Psychologist (Clinical)
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-9400
CAROLYN V LEWIS PHD
Psychologist (Clinical)
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Dekalb County (404) 419-4000
DR. KAREN BEARSS PH.D
Psychologist (Clinical Child & Adolescent)
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-9544
MS. CLARISSA PRIORE MARTIN BCBA
Behavior Analyst
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-2911
LAURA QUINTERO PH.D., BCBA
Psychologist
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-4417
TANISHA CLARK PHD
Psychologist
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-9400
COURTNEY SIEVERS M.ED., BCBA
Behavior Analyst
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-4666
TANISHA JORDAN BCBA
Behavior Analyst
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-9383

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 Jennica Bouquet's NPI number?

The NPI number for Jennica Bouquet is 1962039719. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Jennica Bouquet located?

Jennica Bouquet practices at 1920 Briarcliff Rd NE, Atlanta, GA 30329. The listed phone number is (404) 785-8328.

What is Jennica Bouquet's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Jennica Bouquet was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.