NPIMap

Organization Active NPI

Faraday Chattanooga PC

Doing business as Faraday Health-Chattanooga, TN

  • Psychiatry Physician
  • Chattanooga, TN
National Provider Identifier
1073165254
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FARADAY CHATTANOOGA PC
Doing business as
Faraday Health-Chattanooga, TN
Practice address
6031 Shallowford Rd Ste 113
Chattanooga, TN 37421-1984
Phone
(423) 825-8500
Fax
(800) 878-9297
NPI assigned
Jul 9, 2019
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Loring Helfrich
Title
Authorized Official
Phone
(423) 825-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

6031 Shallowford Rd Ste 113
Chattanooga, TN 37421-1984

Mailing address

6031 Shallowford Rd Ste 113
Chattanooga, TN 37421-1984

Other names 1

  • Faraday Health-Chattanooga, TN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191030002452 TN Part B Supplier - Clinic/Group Practice 9931431665 Receives reassigned benefits from 14 practitioners
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory
Tax ID family
Faraday Chattanooga PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1612 Westgate Cir
Ste 215
Brentwood, TN 37027
Phone (615) 669-4173

6031 Shallowford Rd
Ste 113
Chattanooga, TN 37421
Phone (423) 648-4181

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1073165254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 SHALLOWFORD RD STE 113",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 SHALLOWFORD RD STE 113",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211984",
            "telephone_number": "423-825-8500",
            "fax_number": "800-878-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARADAY CHATTANOOGA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "HELFRICH",
        "authorized_official_first_name": "LORING",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "423-825-8500"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faraday Health-Chattanooga, TN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.