Active NPI
Jacquelin Darby, PSYD
- Clinical Psychologist
- Nashville, TN
National Provider Identifier
1114421872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05992
- Practice address
- 215 Donelson Pike Unit 148262
Nashville, TN 37214-2998 - Phone
- (240) 273-4524
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05992 | MD | Primary |
Addresses
Primary practice location
215 Donelson Pike Unit 148262
Nashville, TN 37214-2998
Mailing address
PO Box 223
Glenn Dale, MD 20769-0223
Phone (240) 273-4524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05992 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1114421872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 223",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207690223",
"telephone_number": "240-273-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 DONELSON PIKE UNIT 148262",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372142998",
"telephone_number": "240-273-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARBY",
"first_name": "JACQUELIN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.