Organization Active NPI

Recovery Physician Group of Tennessee, LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Memphis, TN
National Provider Identifier
1275799892
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
Legal business name
RECOVERY PHYSICIAN GROUP OF TENNESSEE, LLC
Practice address
3175 Lenox Park Blvd Ste 412
Memphis, TN 38115-4256
Phone
(954) 587-7771
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Yvonne Bell
Title
Team Leader
Phone
(954) 587-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X Primary

Addresses

Primary practice location

3175 Lenox Park Blvd Ste 412
Memphis, TN 38115-4256

Mailing address

PO Box 2323
Brentwood, TN 37024-2323
Phone (957) 587-7771

National Provider Directory

National Provider Directory
Tax ID family
Recovery Physician Group of Tennessee LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3175 Lenox Park Blvd
Ste 412
Memphis, TN 38115
Phone (901) 273-2350

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1275799892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2323",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370242323",
            "telephone_number": "957-587-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 LENOX PARK BLVD STE 412",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154256",
            "telephone_number": "954-587-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY PHYSICIAN GROUP OF TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "TEAM LEADER",
        "authorized_official_telephone_number": "954-587-7771"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.