Marcella Horn Dunaway, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P2872 Issued in TN

Practice address

262 Cherokee Professional Park
Maryville, TN 37804-5153

Phone

(865) 984-4223

Fax

(865) 681-1789

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Marcella Ruth Horn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Blount Hospitalists PC

  • Hospitalist Physician
  • Maryville, TN
  • NPI 1679876411
  NPD (past)
• Pain Medicine Associates, P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Johnson City, TN
  • NPI 1477594364
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1235334350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4068",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378024068",
            "telephone_number": "865-273-1752",
            "fax_number": "865-273-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CHEROKEE PROFESSIONAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045153",
            "telephone_number": "865-984-4223",
            "fax_number": "865-681-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "MARCELLA",
        "middle_name": "HORN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P2872 (PROV)",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P2872",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TN",
            "license": "P2872",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TN",
            "license": "P2872",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517021",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELLA",
            "last_name": "HORN",
            "middle_name": "RUTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brenda-Lee Wilder Duarte, LPC-MHSP
• Traci Dubuque, FNP-BC
• Ethan Joel Dudley
• Ketlin Duff
• Meaghan Catherine Dullea, PT, DPT
• Carrie Beth Clark Duncanson, ATC
• Stephen John Dunkley, FNP-C
• Lawrence Edward Dunn, LMFT
• Charles Gerard Durand, M.D.
• Julie Ross Durand, M.D.

• Clinical Psychologist in Maryville, TN
• Providers in Maryville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.

Verify at the official NPI Registry.