Maria Abercrombie, PH.D.
Individual provider Active NPI Clinical Psychologist · Brentwood, TN
NPI 1194875104 · NPPES record last updated Mar 11, 2015
Key facts
- NPI
- 1194875104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- P0000001024 (TN)
- Practice address
- 7003 Chadwick Drive
Suite 152
Brentwood, TN 37027-5288 - Phone
- (615) 972-5333
- Fax
- (865) 671-2645
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041130000619 | TN | Practitioner - Clinical Psychologist | 0244295350 | Practice locations: Brentwood, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0000001024 | TN | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P1024 | TN | |
| Clinical Psychologist | 103TC0700X | P0000001024 | TN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3684377 | Medicaid | TN |
Other providers in Brentwood, TN
- A Center for Counsleing, PLLC
- A Sound Mind Behavioral Health
- Andrew Abalos
- Abba Hands
- Anna Rebecca Abbott
- Abide Maternal Mental Health, PLLC
- Abilishealth Nashville, LLC
- Tracy Maurice Abney
- Abode Care Partners, P.C.
- Above & Beyond Medical Corporation, LLC
All providers in Brentwood, TN · Clinical Psychologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.