Active NPI
Dawn Marie Beatty, MA, EDS, PHD
- Clinical Psychologist
- Franklin, TN
National Provider Identifier
1043369408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P0000003237
- Practice address
- 106 Mission CT
Suite 904
Franklin, TN 37067-6440 - Phone
- (615) 587-5490
- Fax
- (615) 587-5491
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0000000683 | TN | |
| Clinical Psychologist | 103TC0700X | P0000003237 | TN | Primary |
Addresses
Primary practice location
106 Mission CT
Suite 904
Franklin, TN 37067-6440
Mailing address
106 Mission CT
Suite 904
Franklin, TN 37067-6440
Phone (615) 587-5490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5441871 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0000003237 | TN | MD | Clinical Psychologist |
| 0000000683 | TN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1043369408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 MISSION CT",
"address_2": "SUITE 904",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370676440",
"telephone_number": "615-587-5490",
"fax_number": "615-778-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MISSION CT",
"address_2": "SUITE 904",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370676440",
"telephone_number": "615-587-5490",
"fax_number": "615-587-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "DAWN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MA, EDS, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "0000000683",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P0000003237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5441871",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.