Individual provider Active NPI

Narciso Cuseodio Gaboy, M.D.

  • Psychiatry Physician
  • Hermitage, TN
National Provider Identifier
1073677480
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
131589MD Issued in TN
Practice address
1312 Central CT
Hermitage, TN 37076-3142
Phone
(615) 316-0940
Fax
(615) 316-0941
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 131589MD TN Primary

Addresses

Primary practice location

1312 Central CT
Hermitage, TN 37076-3142

Mailing address

1312 Central CT
Hermitage, TN 37076-3142
Phone (615) 316-0940

Other identifiers 1

IdentifierTypeStateIssuer
3000681MedicaidTN

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
131589MDTNMDPsychiatry Physician
13158TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Narciso C. Gaboy MD., PLLC Psychiatry Past Accepting new patients
Volunteer Behavioral Health Care System PastSince Jul 1, 2003 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073677480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 CENTRAL CT",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763142",
            "telephone_number": "615-316-0940",
            "fax_number": "615-316-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 CENTRAL CT",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763142",
            "telephone_number": "615-316-0940",
            "fax_number": "615-316-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABOY",
        "first_name": "NARCISO",
        "middle_name": "CUSEODIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "131589MD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000681",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.