Organization Active NPI

CHC Memphis CMHC, LLC

  • Community/Behavioral Health Agency
  • Memphis, TN
National Provider Identifier
1093939928
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHC MEMPHIS CMHC, LLC
Practice address
4066 Summer Ave
Memphis, TN 38122-5225
Phone
(615) 376-6200
Fax
(615) 376-6150
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
John Croley
Title
Cfo
Phone
(615) 376-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4066 Summer Ave
Memphis, TN 38122-5225

Mailing address

750 Old Hickory Blvd BLDG 2
Suite 100
Brentwood, TN 37027-4528
Phone (615) 376-6200

National Provider Directory

National Provider Directory

Locations

2009 Lamar Ave
Memphis, TN 38114
Phone (901) 531-1930

278 Greenlaw Ave
Memphis, TN 38105
Phone (901) 531-1930

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1093939928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 OLD HICKORY BLVD BLDG 2",
            "address_2": "SUITE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274528",
            "telephone_number": "615-376-6200",
            "fax_number": "615-376-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 SUMMER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381225225",
            "telephone_number": "615-376-6200",
            "fax_number": "615-376-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC MEMPHIS CMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "CROLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-376-6200"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.