Individual provider Active NPI

James Joseph Staudenmeier, M.D., MPH

  • Psychiatry Physician
  • Clarksville, TN
National Provider Identifier
1174514657
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2013022890 Issued in MO
Practice address
243 Dover Rd
Clarksville, TN 37042-4155
Phone
(931) 905-4646
Fax
(833) 278-1934
NPI assigned
Nov 2, 2005
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 2013022890 MO
Addiction Psychiatry Physician 2084P0802X 46702 KY
Child & Adolescent Psychiatry Physician 2084P0804X 2013022890 MO
Child & Adolescent Psychiatry Physician 2084P0804X 46702 KY
Psychiatry Physician 2084P0800X 57538 TN
Psychiatry Physician 2084P0800X 2013022890 MO Primary
Psychiatry Physician 2084P0800X 46702 KY

Addresses

Primary practice location

243 Dover Rd
Clarksville, TN 37042-4155

Mailing address

2038 Mossy Oak Cir
Clarksville, TN 37043-5949
Phone (315) 523-4253

Other practice location 1

1815 Pleasant Grove Rd
Jonesboro, AR 72401
Phone (870) 933-6886 ext. 9430

Other practice location 2

151 Hatcher Ln Ste A
Clarksville, TN 37043-5973
Phone (913) 416-3511

Other identifiers 4

IdentifierTypeStateIssuer
Q037630MedicaidTN
210425001MedicaidAR
1174514657MedicaidMO
7100344430MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161111000686 AR Practitioner - Psychiatry 6204070402 Reassigns benefits to 1 organization
I20181106000443 TN Practitioner - Psychiatry 6204070402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Hahnemann University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

243 Dover Rd
Clarksville, TN 37042-4155
Phone (315) 523-4256

6200 Hospitality Dr
FL 1
Franklin, TN 37067-5023
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46702KYMDChild & Adolescent Psychiatry Physician
2013022890MOMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Families, Inc of Arkansas CurrentSince Oct 7, 2016 Accepting new patients
Families, Inc of Arkansas CurrentSince Oct 7, 2016 Accepting new patients
Psychiatry Services of Clarksville PLC Psychiatry CurrentSince Jul 3, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886

1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303

243 Dover Rd
Clarksville, TN 37042
Phone (315) 523-4256

324 Franklin St
Clarksville, TN 37040
Phone (931) 552-7474

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1174514657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 MOSSY OAK CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435949",
            "telephone_number": "315-523-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 DOVER RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424155",
            "telephone_number": "931-905-4646",
            "fax_number": "833-278-1934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Pleasant Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "72401",
            "country_code": "US",
            "telephone_number": "870-933-6886 x9430",
            "fax_number": "870-933-9395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Hatcher Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370435973",
            "country_code": "US",
            "telephone_number": "913-416-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUDENMEIER",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MO",
            "license": "2013022890",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "KY",
            "license": "46702",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "2013022890",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "46702",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "57538",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2013022890",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "46702",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q037630",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210425001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174514657",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100344430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.