Individual provider Active NPI

Larry Fletcher Palmer, PHD

  • Clinical Psychologist
  • Dickson, TN
National Provider Identifier
1194768440
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P2419 Issued in TN
Practice address
402 Center Avenue
Dickson, TN 37055
Phone
(615) 446-2134
Fax
(615) 446-2866
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P2419 TN Primary
Clinical Psychologist 103TC0700X PE11364 TN

Addresses

Primary practice location

402 Center Avenue
Dickson, TN 37055

Mailing address

402 Center Avenue
Dickson, TN 37055
Phone (615) 446-2134

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P2419TNMDClinical Psychologist
PE11364TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Evelyn M Frye Clinical Associates, PC Clinical PastSince Aug 30, 2009 Accepting new patients
Helping House, PLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1194768440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 CENTER AVENUE",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "37055",
            "telephone_number": "615-446-2134",
            "fax_number": "615-446-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 CENTER AVENUE",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "37055",
            "telephone_number": "615-446-2134",
            "fax_number": "615-446-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "LARRY",
        "middle_name": "FLETCHER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P2419",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "PE11364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.