Organization Active NPI

Fishield Behavioral Medical Services, Inc.

  • Adult Mental Health Clinic/Center
  • Madison, TN
National Provider Identifier
1124319454
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MD0000048598 Issued in TN
Legal business name
FISHIELD BEHAVIORAL MEDICAL SERVICES, INC.
Practice address
801 E. Old Hickory Blvd.
Suite 160
Madison, TN 37115-4173
Phone
(615) 206-7171
Fax
(615) 469-0120
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Mrs. Margaret Stella Fisher
Title
Ceo/Adm
Phone
(615) 206-7171

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1000000013308 TN
Adult Mental Health Clinic/Center 261QM0850X L000000013307 TN
Adult Mental Health Clinic/Center 261QM0850X MD0000048598 TN Primary
Primary Care Clinic/Center 261QP2300X MD0000013877 TN
Non-emergency Medical Transport (VAN) 343900000X TN

Addresses

Primary practice location

801 E. Old Hickory Blvd.
Suite 160
Madison, TN 37115-4173

Mailing address

801 E Old Hickory Blvd
Suite 160
Madison, TN 37115-4173
Phone (615) 206-7171

Other identifiers 1

IdentifierTypeStateIssuer
Q002792MedicaidTN

National Provider Directory

National Provider Directory

Locations

801 E Old Hickory Blvd
Ste 160
Madison, TN 37115
Phone (615) 206-7171

1161 Murfreesboro Pike
Ste 132
Nashville, TN 37217
Phone (615) 366-9445

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1124319454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E OLD HICKORY BLVD",
            "address_2": "SUITE 160",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154173",
            "telephone_number": "615-206-7171",
            "fax_number": "615-469-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E. OLD HICKORY BLVD.",
            "address_2": "SUITE 160",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154173",
            "telephone_number": "615-206-7171",
            "fax_number": "615-469-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHIELD BEHAVIORAL MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "STELLA",
        "authorized_official_title_or_position": "CEO/ADM",
        "authorized_official_telephone_number": "615-206-7171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "1000000013308",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TN",
            "license": "L000000013307",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TN",
            "license": "MD0000048598",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD0000013877",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002792",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.