NPIMap

Organization Active NPI

Calyx Psychological Services

  • Psychologist
  • Memphis, TN
National Provider Identifier
1124482005
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3010 Issued in TN
Legal business name
CALYX PSYCHOLOGICAL SERVICES
Practice address
4646 Poplar Ave Ste 412
Memphis, TN 38117-4434
Phone
(901) 300-2217
NPI assigned
Apr 7, 2016
Last updated
Apr 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Audrey Lindale Townsel, PSYCHOLOGISTNPI 1043352479
Title
Owner
Phone
(901) 270-5752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 3010 TN Primary

Addresses

Primary practice location

4646 Poplar Ave Ste 412
Memphis, TN 38117-4434

Mailing address

PO Box 4071
Cordova, TN 38088-4071
Phone (901) 300-2217

National Provider Directory

National Provider Directory

Locations

4646 Poplar Ave
Ste 412
Memphis, TN 38117
Phone (901) 300-2217

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": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1124482005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4071",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380884071",
            "telephone_number": "901-300-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE STE 412",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174434",
            "telephone_number": "901-300-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALYX PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "TOWNSEL",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "LINDALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-270-5752",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.