Organization Active NPI

Mind Body Wellness Clinical Tennessee, PC

  • Psychiatry Physician
  • Franklin, TN
National Provider Identifier
1245958123
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIND BODY WELLNESS CLINICAL TENNESSEE, PC
Practice address
740 Cool Springs Blvd Ste 140
Franklin, TN 37067-6449
Phone
(469) 991-7647
Fax
(682) 477-3694
NPI assigned
Aug 17, 2022
Organization subpart
Yes
Parent organization
MIND BODY WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Michelle Lee Rinehart
Title
Credentialing & Contracts Specialis
Phone
(682) 316-1856

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

740 Cool Springs Blvd Ste 140
Franklin, TN 37067-6449

Mailing address

16 Village LN Ste 200
Colleyville, TX 76034-2948
Phone (469) 991-7647

Other practice location 1

7480 Ziegler Rd Ste 100
Chattanooga, TN 37421-4943
Phone (469) 991-7647

Other practice location 2

10904 Kingston Pike Ste 101
Knoxville, TN 37934-2952
Phone (469) 991-7647

National Provider Directory

National Provider Directory
Part of
Mind Body Wellness LLC

Locations

7480 Ziegler Rd
Ste 100
Chattanooga, TN 37421
Phone (682) 224-8196

1201 Liberty Pike
Ste 205
Franklin, TN 37067
Phone (615) 637-1532

10904 Kingston Pike
Ste 101
Knoxville, TN 37934
Phone (865) 568-5489

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1245958123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 VILLAGE LN STE 200",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342948",
            "telephone_number": "469-991-7647",
            "fax_number": "682-477-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 COOL SPRINGS BLVD STE 140",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676449",
            "telephone_number": "469-991-7647",
            "fax_number": "682-477-3694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7480 Ziegler Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214943",
            "country_code": "US",
            "telephone_number": "469-991-7647",
            "fax_number": "682-477-3694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10904 Kingston Pike Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342952",
            "country_code": "US",
            "telephone_number": "469-991-7647",
            "fax_number": "682-477-3694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND BODY WELLNESS CLINICAL TENNESSEE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIND BODY WELLNESS LLC",
        "enumeration_date": "2022-08-17",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "RINEHART",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CREDENTIALING & CONTRACTS SPECIALIS",
        "authorized_official_telephone_number": "682-316-1856"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.