Individual provider Active NPI

Jacqueline Klaver, PH.D.

  • Clinical Neuropsychologist
  • Nashville, TN
National Provider Identifier
1295160760
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3364 Issued in TN
Practice address
2200 21St Ave S Ste 300
Nashville, TN 37212
Phone
(615) 933-3571
Fax
(844) 270-1951
NPI assigned
Sep 3, 2013
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3364 TN Primary

Addresses

Primary practice location

2200 21St Ave S Ste 300
Nashville, TN 37212

Mailing address

2200 21St Ave S Ste 300
Nashville, TN 37212-4929
Phone (615) 933-3571

Other practice location 1

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215-6199
Phone (615) 784-8142

Other practice location 2

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215-6199
Phone (615) 784-8142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3364TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacqueline Klaver PHD, PLLC Clinical Neuropsychologist CurrentSince Jul 24, 2022 Accepting new patients

Locations

2200 21st Ave S
Ste 300
Nashville, TN 37212
Phone (615) 301-8681

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1295160760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124929",
            "telephone_number": "615-933-3571",
            "fax_number": "844-270-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37212",
            "telephone_number": "615-933-3571",
            "fax_number": "844-270-1951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Burton Hills Blvd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372156199",
            "country_code": "US",
            "telephone_number": "615-784-8142",
            "fax_number": "615-691-7140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Burton Hills Blvd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372156199",
            "country_code": "US",
            "telephone_number": "615-784-8142",
            "fax_number": "615-691-7140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLAVER",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TN",
            "license": "3364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.