Active NPI
Brian Eugene Wilhoit, PHD
- Psychologist
- Knoxville, TN
National Provider Identifier
1306845250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P2402
- Practice address
- 1122 Volunteer Blvd
Knoxville, TN 37996-3452 - Phone
- (865) 974-6395
- Fax
- (865) 974-0135
- NPI assigned
- Jul 21, 2005
- Last updated
- Aug 31, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | P2402 | TN | Primary |
| School Psychologist | 103TS0200X | P2402 | TN |
Addresses
Primary practice location
1122 Volunteer Blvd
Knoxville, TN 37996-3452
Mailing address
Department 888182
Knoxville, TN 37996-0001
Phone (865) 974-6177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3982707 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2402 | TN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1306845250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT 888182",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379960001",
"telephone_number": "865-974-6177",
"fax_number": "865-974-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 VOLUNTEER BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379963452",
"telephone_number": "865-974-6395",
"fax_number": "865-974-0135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILHOIT",
"first_name": "BRIAN",
"middle_name": "EUGENE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "P2402",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TN",
"license": "P2402",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3982707",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.