Organization Active NPI

Outreach Housing and Community Inc

  • Rehabilitation Psychologist
  • Memphis, TN
National Provider Identifier
1306297460
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
L000000017975 Issued in TN
Legal business name
OUTREACH HOUSING AND COMMUNITY INC
Practice address
135 North Cleveland
Memphis, TN 38104-2002
Phone
(800) 274-1843
Fax
(800) 274-1843
NPI assigned
Jun 29, 2016
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Shalonda Nakia Adams
Title
Executive Director
Phone
(800) 274-1843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X L000000017975 TN Primary

Addresses

Primary practice location

135 North Cleveland
Memphis, TN 38104-2002

Mailing address

135 North Cleveland
Memphis, TN 38104-2002
Phone (800) 274-1843

National Provider Directory

National Provider Directory

Locations

135 N Cleveland St
Memphis, TN 38104
Phone (800) 274-1843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1306297460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NORTH CLEVELAND",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042002",
            "telephone_number": "800-274-1843",
            "fax_number": "800-274-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NORTH CLEVELAND",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042002",
            "telephone_number": "800-274-1843",
            "fax_number": "800-274-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH HOUSING AND COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SHALONDA",
        "authorized_official_middle_name": "NAKIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-274-1843"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "TN",
            "license": "L000000017975",
            "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 Jun 29, 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.