Comprehensive Psychiatric Care, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

38569 Issued in TN

Legal business name

COMPREHENSIVE PSYCHIATRIC CARE, PLLC

Practice address

7161 Lee Hwy
Suite 400
Chattanooga, TN 37421-8608

Phone

(423) 708-8670

Fax

(423) 708-8671

NPI assigned

May 1, 2015

Organization subpart

No

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

Authorized official

Name

Deena Olivas

Title

Office Manager

Phone

(423) 708-8670

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1184001869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7161 LEE HWY",
            "address_2": "SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218608",
            "telephone_number": "423-708-8670",
            "fax_number": "423-708-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7161 LEE HWY",
            "address_2": "SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218608",
            "telephone_number": "423-708-8670",
            "fax_number": "423-708-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PSYCHIATRIC CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "OLIVAS",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-708-8670"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4744",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "38569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q12667",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3895348",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.