Ten Broeck Healthcare Foundation Inc

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

21657 Issued in TN

Legal business name

TEN BROECK HEALTHCARE FOUNDATION INC

Practice address

1 Medical Center Blvd
Cookeville, TN 38501-4294

Phone

(931) 783-2570

NPI assigned

Sep 19, 2016

Organization subpart

No

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

Authorized official

Name

Glenda Guy

Title

Pmhnp

Phone

(931) 783-2570

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1285182329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014294",
            "telephone_number": "931-783-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014294",
            "telephone_number": "931-783-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEN BROECK HEALTHCARE FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "931-783-2570"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TN",
            "license": "21657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kinsi Tellep, PHARMD
• Tennessee Audiology Partners, Inc
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• Tennessee Dental Professionals, PC

• Psychiatric Hospital in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Psychiatric Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.