Individual provider Active NPI

Frances Lee Palin, PHD

  • Clinical Psychologist
  • Knoxville, TN
National Provider Identifier
1104080795
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P2847 Issued in TN
Practice address
5410 Homberg Dr Ste 22a
Knoxville, TN 37919-5029
Phone
(865) 387-4091
Fax
(888) 972-6913
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P2847 (PROV) TN
Clinical Psychologist 103TC0700X P2847 TN Primary

Addresses

Primary practice location

5410 Homberg Dr Ste 22a
Knoxville, TN 37919-5029

Mailing address

5410 Homberg Dr Ste 22a
Knoxville, TN 37919-5029
Phone (865) 387-4091

Other names 1

  • Frances Lee Van Amstel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081115000165 TN Practitioner - Clinical Psychologist 0244390607 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5410 Homberg Dr
Suite 10
Knoxville, TN 37919-5029
Phone (865) 387-4091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P2847 (PROV)TNMDPsychologist
P2847TNMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104080795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 HOMBERG DR STE 22A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195029",
            "telephone_number": "865-387-4091",
            "fax_number": "888-972-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 HOMBERG DR STE 22A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195029",
            "telephone_number": "865-387-4091",
            "fax_number": "888-972-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALIN",
        "first_name": "FRANCES",
        "middle_name": "LEE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P2847 (PROV)",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P2847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "VAN AMSTEL",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.