IndividualActive
Jill Waxman, PHD
NPI 1578513404 · Clinical Psychologist · Woodstock, GA
Jill Waxman, PHD is a Clinical Psychologist provider in Woodstock, GA (NPI 1578513404).
Provider details
- NPI number
- 1578513404
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- PSY002824 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Arnold Mill Rd
Woodstock, GA 30188-5027
Phone: (770) 926-0016
Fax: (770) 926-0969
Street-level locationGet directions
Mailing address
1540 Heath Ln
Marietta, GA 30062-5901
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jill Waxman's NPI number?
- Jill Waxman's National Provider Identifier (NPI) is 1578513404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jill Waxman's specialty?
- Jill Waxman is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jill Waxman located?
- Jill Waxman's practice location on file with NPPES is 105 Arnold Mill Rd, Woodstock, GA 30188-5027.
- What is Jill Waxman's phone number?
- The practice phone number listed in the NPPES registry for Jill Waxman is (770) 926-0016.
- Is Jill Waxman's NPI active?
- Yes — Jill Waxman's NPI (1578513404) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.