Rivergate Psychiatric & Behavioral Health
Organization Active NPI Psychiatry Physician · Goodlettsville, TN
NPI 1093757643 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1093757643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- RIVERGATE PSYCHIATRIC & BEHAVIORAL HEALTH
- Practice address
- 815 Wren Rd
Goodlettsville, TN 37072-2316 - Phone
- (615) 851-3063
- Fax
- (615) 851-3048
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mohammad Shah Jahan, MD
- Title
- President
- Phone
- (615) 851-3063
Practitioners 6
-
Nihar Ranjan Saha, M.D.
-
Belinda Hancock Hatcher, FNP-BC
-
Heidi Harrom, M.D.
-
Shahana Huda, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060718000117 | TN | Part B Supplier - Clinic/Group Practice | 9133132095 |
Receives reassigned benefits from 3 practitioners Practice locations: Goodlettsville, TN |
National Provider Directory
Locations
815 Wren Rd
Goodlettsvlle, TN 37072
Phone (615) 851-3063
814 Wren Rd
Goodlettsvlle, TN 37072
Phone (615) 851-3063
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
815 Wren Rd
Goodlettsville, TN 37072-2316
Mailing address
815 Wren Rd
Goodlettsville, TN 37072-2316
Phone (615) 851-3063
NPI Registry JSON
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093757643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 WREN RD",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722316",
"telephone_number": "615-851-3063",
"fax_number": "615-851-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 WREN RD",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722316",
"telephone_number": "615-851-3063",
"fax_number": "615-851-3048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERGATE PSYCHIATRIC & BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JAHAN",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "SHAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-851-3063",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodlettsville, TN
- Bridgett Rivera
- Rivergate Dental Group
- Rivergate Dental Group, PC
- Rivergate Dermatology
- Rivergate Pediatrics PC
- Deborah R Robbins
- Robert M Schmidle DDS
- Tina Amanda Robin
- Kimberly Ann Robinson
- Michael Hilton Robinson
All providers in Goodlettsville, TN · Psychiatry Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.