NPIMap

Organization Active NPI

A Sound Mind Behavioral Health

  • Internal Medicine Physician
  • Brentwood, TN
National Provider Identifier
1003492562
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
A SOUND MIND BEHAVIORAL HEALTH
Practice address
103 Continental PL
Brentwood, TN 37027-1041
Phone
(615) 445-7600
Fax
(615) 332-8939
NPI assigned
Mar 23, 2021
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carrie E Lewey, PA-CNPI 1366871030
Title
Owner
Phone
(423) 946-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Physician Assistant 363A00000X
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

103 Continental PL
Brentwood, TN 37027-1041

Mailing address

403 Belle Glen LN
Brentwood, TN 37027-5623
Phone (423) 946-0044

Other practice location 1

321 Billingsly Ct
Franklin, TN 37067-6444
Phone (615) 445-7600 ext. 61533

Other practice location 2

16 Biltmore Ave Ste 300
Asheville, NC 28801-3617
Phone (615) 445-7600

Other identifiers 1

IdentifierTypeStateIssuer
1366871030MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210528002100 TN Part B Supplier - Clinic/Group Practice 0244639912 Receives reassigned benefits from 5 practitioners
Practice locations: Franklin, TN; Brentwood, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1003492562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BELLE GLEN LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275623",
            "telephone_number": "423-946-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CONTINENTAL PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271041",
            "telephone_number": "615-445-7600",
            "fax_number": "615-332-8939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Billingsly Ct",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370676444",
            "country_code": "US",
            "telephone_number": "615-445-7600 x61533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Biltmore Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288013617",
            "country_code": "US",
            "telephone_number": "615-445-7600",
            "fax_number": "615-332-8939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A SOUND MIND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "LEWEY",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-946-0044",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366871030",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "Kareo",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "brentwood",
            "address_1": "103 Continental Pl",
            "city": "Brentwood",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370271041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.