Active NPI
Gilbert N. West, PH.D.
- Clinical Psychologist
- Monteagle, TN
National Provider Identifier
1114906112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P1159
- Practice address
- 143 College St
Suite 2
Monteagle, TN 37356-7004 - Phone
- (931) 924-7792
- Fax
- (931) 924-7792
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- 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 | P1159 | TN | Primary |
Addresses
Primary practice location
143 College St
Suite 2
Monteagle, TN 37356-7004
Mailing address
700 Haynes Rd
Sewanee, TN 37375-4050
Phone (931) 598-5913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3680539 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1159 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1114906112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 HAYNES RD",
"city": "SEWANEE",
"state": "TN",
"postal_code": "373754050",
"telephone_number": "931-598-5913",
"fax_number": "931-598-5913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 COLLEGE ST",
"address_2": "SUITE 2",
"city": "MONTEAGLE",
"state": "TN",
"postal_code": "373567004",
"telephone_number": "931-924-7792",
"fax_number": "931-924-7792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "GILBERT",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P1159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3680539",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monteagle, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.