Organization Active NPI

Behavioral Medicine Institute PC

  • Clinical Psychologist
  • Knoxville, TN
National Provider Identifier
1073674552
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P1235 Issued in TN
Legal business name
BEHAVIORAL MEDICINE INSTITUTE PC
Practice address
2607 Kingston Pike Ste 250
Knoxville, TN 37919-3331
Phone
(865) 264-2400
Fax
(865) 588-6406
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
C Keith Hulse, PH.D.NPI 1699706291
Title
Ceo/President
Phone
(865) 264-2400

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X P1235 TN Primary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X P1818 TN
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X P2497 TN
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X P0873 TN
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X LSW673 TN
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X LSW1229 TN

Addresses

Primary practice location

2607 Kingston Pike Ste 250
Knoxville, TN 37919-3331

Mailing address

2607 Kingston Pike Ste 250
Knoxville, TN 37919-3331
Phone (865) 264-2400

Other practice location 1

6231 Highland Place Way Ste 101
Knoxville, TN 37919-4083
Phone (865) 588-7598 ext. 3117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110318000251 TN Part B Supplier - Clinic/Group Practice 4284828385 Receives reassigned benefits from 26 practitioners
Practice locations: Knoxville, TN; Oak Ridge, TN; Alcoa, TN

National Provider Directory

National Provider Directory

Locations

1128 E Weisgarber Rd
Ste 210
Knoxville, TN 37909
Phone (865) 264-2400

116 Concord Rd
Ste 600
Knoxville, TN 37934
Phone (865) 282-4972

6231 Highland Place Way
Ste 101
Knoxville, TN 37919
Phone (865) 264-2400

2607 Kingston Pike
Ste 250
Knoxville, TN 37919
Phone (865) 264-2400

2548 Rideout Ln
Murfreesboro, TN 37128
Phone 61541049901007

575 Oak Ridge Tpke
Ste 110
Oak Ridge, TN 37830
Phone (865) 579-0552

Practitioners & affiliated clinicians

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1073674552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 KINGSTON PIKE STE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193331",
            "telephone_number": "865-264-2400",
            "fax_number": "865-588-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 KINGSTON PIKE STE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193331",
            "telephone_number": "865-264-2400",
            "fax_number": "865-588-6406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6231 Highland Place Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194083",
            "country_code": "US",
            "telephone_number": "865-588-7598 x3117",
            "fax_number": "865-588-6406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "HULSE",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "865-264-2400",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1235",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1818",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P2497",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0873",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW673",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW1229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.