Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jaylyn Clark Shifrin, PHD

Individual provider Clinical Psychologist · NPI 1508469537

Dr. Jaylyn Clark Shifrin, PHD is a Clinical Psychologist in Lilburn, Georgia. Qualified in 2019, 7 years ago. Works from 2 locations. Licensed in Georgia and Rhode Island.

Years since qualifying
7
Licensed in
GA, RI
In the registry since
2020
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

3502 Harvest Moon Trce SW
Lilburn, GA 30047-2468
Phone: (229) 977-0834
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1150 Reservoir Ave Ste 203, Cranston, RI 02920-6032 — (401) 259-0340

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY004638 (GA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS02382 (RI)
Psychologist Taxonomy 103T00000X · Licence PSY004638 (GA)

Record details

NPI number1508469537
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 20, 2020
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address3502 Harvest Moon Trce Sw, Lilburn, GA 30047-2468

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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