Organization Active NPI

Medical Psychology Consultants, LLC

  • Clinical Psychologist
  • Shelbyville, TN
National Provider Identifier
1114164621
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MEDICAL PSYCHOLOGY CONSULTANTS, LLC
Practice address
118 Maupin Cir
Shelbyville, TN 37160-3781
Phone
(931) 680-7576
Fax
(931) 536-4346
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Ms. Lisa L North
Title
Office Manager
Phone
(931) 680-7576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

118 Maupin Cir
Shelbyville, TN 37160-3781

Mailing address

118 Maupin Cir
Shelbyville, TN 37160-3781
Phone (931) 680-7576

National Provider Directory

National Provider Directory

Locations

27 Margo Ave
Bardwell, KY 42023
Phone (270) 628-5424

27 Margo Ave
Bardwell, KY 42023
Phone (270) 628-5424

3100 Clay St
Paducah, KY 42001
Phone (270) 442-6884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1114164621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAUPIN CIR",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603781",
            "telephone_number": "931-680-7576",
            "fax_number": "931-536-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAUPIN CIR",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603781",
            "telephone_number": "931-680-7576",
            "fax_number": "931-536-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PSYCHOLOGY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "NORTH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-680-7576",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.