Active NPI
Maria Abercrombie, PH.D.
- Clinical Psychologist
- Brentwood, TN
National Provider Identifier
1194875104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P0000001024
- Practice address
- 7003 Chadwick Drive
Suite 152
Brentwood, TN 37027-5288 - Phone
- (615) 972-5333
- Fax
- (865) 671-2645
- NPI assigned
- Jan 11, 2007
- Last updated
- Mar 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P1024 | TN | |
| Clinical Psychologist | 103TC0700X | P0000001024 | TN | Primary |
Addresses
Primary practice location
7003 Chadwick Drive
Suite 152
Brentwood, TN 37027-5288
Mailing address
7003 Chadwick Drive
Suite 152
Brentwood, TN 37027-5288
Phone (615) 972-5333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041130000619 | TN | Practitioner - Clinical Psychologist | 0244295350 | Practice locations: Brentwood, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0000001024 | TN | MD | Clinical Psychologist |
| P1024 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1194875104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7003 CHADWICK DRIVE",
"address_2": "SUITE 152",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275288",
"telephone_number": "615-972-5333",
"fax_number": "865-671-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7003 CHADWICK DRIVE",
"address_2": "SUITE 152",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275288",
"telephone_number": "615-972-5333",
"fax_number": "865-671-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABERCROMBIE",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P1024",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P0000001024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
- A Center for Counsleing, PLLC
- A Sound Mind Behavioral Health
- Andrew Abalos
- Abba Hands
- Anna Rebecca Abbott, DO
- Abide Maternal Mental Health, PLLC (Abide Maternal Psychiatry)
- Abilishealth Nashville, LLC (Adoration Home Health Nashville South)
- Tracy Maurice Abney, DNP, PMHNP, ACNS
- Abode Care Partners, P.C.
- Above & Beyond Medical Corporation Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.