Calyx Psychological Services

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

Organization subpart

No

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

Authorized official

Name

Audrey Lindale Townsel, PSYCHOLOGIST

Title

Owner

Phone

(901) 270-5752

Specialties & licenses 1

Addresses

Locations

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": []
}

• Ashley N Callonas, CRNA
• Michael George Callonas II, CRNA
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• Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychologist in Tennessee

• 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.