Woodbury Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WOODBURY MENTAL HEALTH LLC

Practice address

115 W Main St
Woodbury, TN 37190-1143

Phone

(615) 922-6782

NPI assigned

Dec 20, 2023

Last updated

Feb 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Michelle TimmNPI 1902510829

Title

Self

Phone

(615) 410-5762

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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.

• Tiffany M Timm

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbury, TN
  • NPI 1902510829
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1174392021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371900098",
            "telephone_number": "615-410-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MAIN ST",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901143",
            "telephone_number": "615-922-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "TIMM",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "615-410-5762"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynlee White, PHARM.D.
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• Woodbury Dental Partners
• Woodbury Drug Center LLC
• Woodbury Family Dental PLLC (Woodbury Dental Partners)
• Woodbury Nursing Center
• Diana Lynn Woodson, PHARMD
• Joseph Thomas Woodson III, PHARM D
• Woodson's Pharmacy, Inc.
• Hope Melton Young, ATC

• Psychiatric/Mental Health Nurse Practitioner in Woodbury, TN
• Providers in Woodbury, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.