Neuroscience Institute on Addiction

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

Legal business name

NEUROSCIENCE INSTITUTE ON ADDICTION

Doing business as

Neuroscience Institute on Addiction

Practice address

142 Village LN
Hohenwald, TN 38462-2501

Phone

(954) 260-0104

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SUD FACILITY OPTIMIZATION, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Jay Bouldin, MBBS/MD/PHD22

Title

Director of Operations

Phone

(954) 260-0104

Specialties & licenses 1

Addresses

Other names 1

• Neuroscience Institute on Addiction Doing business as

Electronic endpoints 3

Part of

Sud Facility Optimization LLC

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

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    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1205577327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 VILLAGE LN",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "384622501",
            "telephone_number": "954-260-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 VILLAGE LN",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "384622501",
            "telephone_number": "954-260-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSCIENCE INSTITUTE ON ADDICTION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUD FACILITY OPTIMIZATION, LLC",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "BOULDIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "954-260-0104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MBBS/MD/PHD22"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DrJayBouldin",
            "affiliation": "N",
            "endpointDescription": "DrJayBouldinPhD",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "142 Village Ln",
            "city": "Hohenwald",
            "state": "TN",
            "country_code": "US",
            "postal_code": "384622501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DrJayBouldin",
            "affiliation": "N",
            "endpointDescription": "DrJayBouldinPhD",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "142 Village Ln",
            "city": "Hohenwald",
            "state": "TN",
            "country_code": "US",
            "postal_code": "384622501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DrJayBouldin",
            "affiliation": "N",
            "endpointDescription": "DrJayBouldinPhD",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "142 Village Ln",
            "city": "Hohenwald",
            "state": "TN",
            "country_code": "US",
            "postal_code": "384622501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Neuroscience Institute on Addiction",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Research Study Specialist in Hohenwald, TN
• Providers in Hohenwald, TN by specialty
• Research Study Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.