Active NPI
Femi Folorunsho, PHD
- Forensic Psychologist
- Memphis, TN
National Provider Identifier
1194233304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- Practice address
- 3900 New Covington Pike Ste 107
Memphis, TN 38128-2526 - Phone
- (901) 399-0383
- Fax
- (877) 471-2552
- NPI assigned
- Jan 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| School Counselor | 101YS0200X | |||
| Behavior Analyst | 103K00000X | |||
| Counseling Psychologist | 103TC1900X | |||
| Forensic Psychologist | 103TF0200X | Primary | ||
| Family Psychologist | 103TF0000X | |||
| Prescribing (Medical) Psychologist | 103TP0016X | |||
| Rehabilitation Psychologist | 103TR0400X | |||
| Mental Health Occupational Therapist | 225XM0800X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Assisted Living Facility (Mental Illness) | 3104A0625X |
Addresses
Primary practice location
3900 New Covington Pike Ste 107
Memphis, TN 38128-2526
Mailing address
3900 New Covington Pike Ste 107
Memphis, TN 38128-2526
Phone (019) 399-0383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801483 | Other | TN | 8014483 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alton Behavioral Health Management | Single Specialty | Current | Accepting new patients |
Locations
3900 New Covington Pike
Ste 107
Memphis, TN 38128
Phone (901) 399-0383
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Memphis, TN
- NPI 1134801483
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691798400000",
"number": "1194233304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 NEW COVINGTON PIKE STE 107",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381282526",
"telephone_number": "019-399-0383",
"fax_number": "877-471-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 NEW COVINGTON PIKE STE 107",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381282526",
"telephone_number": "901-399-0383",
"fax_number": "877-471-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLORUNSHO",
"first_name": "FEMI",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-22",
"last_updated": "2023-08-12",
"certification_date": "2023-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "8014483",
"identifier": "801483",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.