Active NPI
CHC Memphis CMHC, LLC
- Community/Behavioral Health Agency
- Memphis, TN
National Provider Identifier
1093939928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.