Stones River Psychiatry Group Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD20037 Issued in TN

Legal business name

STONES RIVER PSYCHIATRY GROUP INC

Practice address

225 N Willow Ave
Ste. 1
Cookeville, TN 38501-2335

Phone

(931) 372-8700

Fax

(931) 372-8717

NPI assigned

Nov 18, 2011

Organization subpart

No

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

Authorized official

Name

Viswa Bharathi Durvasula, M.D.

Title

M.D.

Phone

(931) 372-8700

Specialties & licenses 1

Addresses

Other names 1

• Middle Tennessee Psychiatry Group Incorporated Doing business as

Locations

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1265709208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N WILLOW AVE",
            "address_2": "STE. 1",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012335",
            "telephone_number": "931-372-8700",
            "fax_number": "931-372-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N WILLOW AVE",
            "address_2": "STE. 1",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012335",
            "telephone_number": "931-372-8700",
            "fax_number": "931-372-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONES RIVER PSYCHIATRY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "DURVASULA",
        "authorized_official_first_name": "VISWA",
        "authorized_official_middle_name": "BHARATHI",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "931-372-8700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD20037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Tennessee Psychiatry Group Incorporated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathleen Delane Stewart, NURSE PRACTIONER
• Cody Stewart, CRNA
• Jami Lian Stewart
• Lisa Renee Stewart, LPC-MHSP
• Ashley Stilts, RN
• Danny J Strange, MD
• Lara Strate, PH.D., NCC
• Virginia K Street
• Nathan Brian Strickland
• Lisa McHenry Stricklin, PHARM.D.

• Psychiatry Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.