Active NPI
Mboc Tennessee, P.L.L.C.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
National Provider Identifier
1316773336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MBOC TENNESSEE, P.L.L.C.
- Doing business as
- Mind Body Optimization Center
- Practice address
- 10904 Kingston Pike Ste 101
Knoxville, TN 37934-2952 - Phone
- (865) 568-5519
- NPI assigned
- Sep 9, 2024
- Organization subpart
- Yes
- Parent organization
- MBO TEXAS, P.L.L.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Warren, MD
- Title
- Chairman
- Phone
- (713) 822-0691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
10904 Kingston Pike Ste 101
Knoxville, TN 37934-2952
Mailing address
16 Village LN Ste 200
Colleyville, TX 76034-2948
Phone (469) 990-3626
Other practice location 1
740 Cool Springs Blvd Ste 140
Franklin, TN 37067-6449
Phone (615) 637-1490
Other practice location 2
7480 Ziegler Rd Ste 100
Chattanooga, TN 37421-4943
Phone (682) 224-8196
Other names 1
- Mind Body Optimization Center
National Provider Directory
National Provider Directory- Part of
- Mbo Texas PLLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1316773336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 VILLAGE LN STE 200",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760342948",
"telephone_number": "469-990-3626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10904 KINGSTON PIKE STE 101",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379342952",
"telephone_number": "865-568-5519"
}
],
"practiceLocations": [
{
"address_1": "740 Cool Springs Blvd Ste 140",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "TN",
"postal_code": "370676449",
"country_code": "US",
"telephone_number": "615-637-1490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7480 Ziegler Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374214943",
"country_code": "US",
"telephone_number": "682-224-8196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MBOC TENNESSEE, P.L.L.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MBO TEXAS, P.L.L.C.",
"enumeration_date": "2024-09-09",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "713-822-0691",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mind Body Optimization Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mind Body Optimization Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.