Active NPI
Thomas Wade Parks, M.S.
- School Psychologist
- Knoxville, TN
National Provider Identifier
1154664225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 000093901
- Practice address
- 10263 Kingston Pike
Knoxville, TN 37922-3276 - Phone
- (865) 670-9231
- Fax
- (865) 531-3460
- NPI assigned
- Mar 27, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 000093901 | TN | Primary |
Addresses
Primary practice location
10263 Kingston Pike
Knoxville, TN 37922-3276
Mailing address
6350 W Andrew Johnson Hwy
Department 100
Talbott, TN 37877-8605
Phone (800) 355-3565
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000093901 | TN | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Health Systems | Past | Accepting new patients | |
| Cherokee Health Systems | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Knoxville, TN
- NPI 1043457179
-
- Federally Qualified Health Center (FQHC)
- White Pine, TN
- NPI 1699666404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1154664225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 W ANDREW JOHNSON HWY",
"address_2": "DEPARTMENT 100",
"city": "TALBOTT",
"state": "TN",
"postal_code": "378778605",
"telephone_number": "800-355-3565",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10263 KINGSTON PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223276",
"telephone_number": "865-670-9231",
"fax_number": "865-531-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "THOMAS",
"middle_name": "WADE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TN",
"license": "000093901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.