NPIMap

Organization Active NPI

Esd Psychological Services

  • Psychologist
  • Morristown, TN
National Provider Identifier
1194148239
Registry record updated Jan 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P2742 Issued in TN
Legal business name
ESD PSYCHOLOGICAL SERVICES
Practice address
1329 W Andrew Johnson Hwy
Morristown, TN 37814-3728
Phone
(865) 719-7524
Fax
(423) 318-3050
NPI assigned
Jan 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2014

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

Authorized official

Name
Dr. Ellen Senter Denny, PHD
Title
Licensed Psychologist
Phone
(865) 719-7524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X P2742 TN Primary

Addresses

Primary practice location

1329 W Andrew Johnson Hwy
Morristown, TN 37814-3728

Mailing address

1329 W Andrew Johnson Hwy
Morristown, TN 37814-3728
Phone (865) 719-7524

Other identifiers 1

IdentifierTypeStateIssuer
3586002OtherTNPTAN

National Provider Directory

National Provider Directory

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390608000000",
    "number": "1194148239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143728",
            "telephone_number": "865-719-7524",
            "fax_number": "423-318-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143728",
            "telephone_number": "865-719-7524",
            "fax_number": "423-318-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESD PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-25",
        "last_updated": "2014-01-25",
        "status": "A",
        "authorized_official_last_name": "DENNY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "SENTER",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "865-719-7524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P2742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "3586002",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2014; 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.