Active NPI
Mary E Payne, PH.D.
- Clinical Child & Adolescent Psychologist
- Franklin, TN
National Provider Identifier
1043490030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 2923
- Practice address
- 570 Bakers Bridge Ave
Franklin, TN 37067-6456 - Phone
- (615) 790-3200
- NPI assigned
- Nov 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2923 | TN | Primary |
Addresses
Primary practice location
570 Bakers Bridge Ave
Franklin, TN 37067-6456
Mailing address
416 Normandy Cir
Nashville, TN 37209-4822
Phone (615) 790-3200
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2923 | TN | MD | Optometrist |
Interoperability endpoints
- mary.payne@hca1.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1043490030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 NORMANDY CIR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372094822",
"telephone_number": "615-790-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 BAKERS BRIDGE AVE",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370676456",
"telephone_number": "615-790-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-07",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TN",
"license": "2923",
"primary": true
}
],
"identifiers": [],
"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 Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.