Organization Active NPI

Sunshine Behavioral Health

  • Community/Behavioral Health Agency
  • Hendersonville, TN
National Provider Identifier
1124704416
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUNSHINE BEHAVIORAL HEALTH
Practice address
260 W Main St Ste 111D
Hendersonville, TN 37075-7317
Phone
(615) 537-2715
NPI assigned
Jun 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Mr. John Hal Malone III, MS, MA, LPCNPI 1578692299
Title
President
Phone
(615) 537-2715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

260 W Main St Ste 111D
Hendersonville, TN 37075-7317

Mailing address

260 W Main St Ste 111D
Hendersonville, TN 37075-7317
Phone (615) 537-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240501002309 TN Part B Supplier - Clinic/Group Practice 8729428230 Receives reassigned benefits from 1 practitioner
Practice locations: Hendersonvlle, TN

National Provider Directory

National Provider Directory

Locations

260 W Main St
Ste 111D
Hendersonvlle, TN 37075
Phone (615) 537-2715

Practitioners & affiliated clinicians

Practitioners 1

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": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1124704416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W MAIN ST STE 111D",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370757317",
            "telephone_number": "615-537-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W MAIN ST STE 111D",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370757317",
            "telephone_number": "615-537-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-537-2715",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MS, MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.