Organization Active NPI

Clinch River Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Ridge, TN
National Provider Identifier
1093514960
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CLINCH RIVER BEHAVIORAL HEALTH
Practice address
665 Emory Valley Rd Ste B
Oak Ridge, TN 37830-7762
Phone
(865) 404-3976
NPI assigned
Mar 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mrs. Kimberly Lynn Seeber, PMHNPNPI 1013726355
Title
Owner/Pmhnp
Phone
(865) 404-3976

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

665 Emory Valley Rd Ste B
Oak Ridge, TN 37830-7762

Mailing address

207 Lexington LN
Clinton, TN 37716-5782
Phone (865) 404-3976

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250424000308 TN Part B Supplier - Clinic/Group Practice 6305362237 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Ridge, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1093514960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 LEXINGTON LN",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377165782",
            "telephone_number": "865-404-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 EMORY VALLEY RD STE B",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307762",
            "telephone_number": "865-404-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINCH RIVER BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "SEEBER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PMHNP",
        "authorized_official_telephone_number": "865-404-3976",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.