Adult and Geriatric Psychiatry Service

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

MD19195 Issued in TN

Legal business name

ADULT AND GERIATRIC PSYCHIATRY SERVICE

Practice address

1618 Strawberry LN
Johnson City, TN 37604-7700

Phone

(423) 677-6787

NPI assigned

Feb 7, 2013

Last updated

Feb 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fernando Bendfeldt, MDNPI 1205830536

Title

Physician

Phone

(423) 283-8801

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Fernando Bendfeldt, M.D.

  • Psychiatry Physician
  • Johnson City, TN
  • NPI 1205830536
  Authorized official Same address or phone

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1053650200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY STE 407",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044000",
            "telephone_number": "423-283-8801",
            "fax_number": "423-282-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 STRAWBERRY LN",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047700",
            "telephone_number": "423-677-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND GERIATRIC PSYCHIATRY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "BENDFELDT",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "423-283-8801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TN",
            "license": "MD19195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elaine Adkins, PT,DPT
• Sharla K Adkins, NP
• Summerlin Adkins
• Michael Glenn Adkison, CMSW
• Sarah Adkisson
• Advanced Care Chiropractic and Rehab
• Advanced Dental and Anesthesia Solutions LLC
• Advocate Integrated Medical
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• Aeroflow Inc. (Aeroflow Healthcare)

• Geriatric Psychiatry Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Geriatric Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.