Clarksville Addiction Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CLARKSVILLE ADDICTION RECOVERY

Practice address

1823 Memorial Dr
Clarksville, TN 37043-4604

Phone

(931) 919-2742

Fax

(931) 919-2743

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Hunter Wood

Title

Clinic Director

Phone

(615) 512-8998

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Brandy Fisher, MA

  • Addiction (Substance Use Disorder) Counselor
  • Columbia, TN
  • NPI 1730822982
  NPD
• Meghan Leigh Hewitt

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1932724598
  NPD
• Sydney Abramson, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Murfreesboro, TN
  • NPI 1215975180
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1164030656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434604",
            "telephone_number": "931-919-2742",
            "fax_number": "931-919-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434604",
            "telephone_number": "931-919-2742",
            "fax_number": "931-919-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE ADDICTION RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "615-512-8998"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarity Mental Health PLC
• Ashley N Clark, PT
• Cere Nichelle Clark, BEHAVIOR TECHNICIAN
• Mark S Clark
• Taylor Clark
• Clarksville Advanced Practice Psychiatric Services
• Clarksville Anesthesia LLC
• Clarksville Behavioral Health, LLC
• Clarksville Birth Center, LLC
• Clarksville Cardiology P.C.

• All providers in Clarksville, TN
• Substance Use Disorder Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.