Kevin B. Collen, M.D. PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

38029 Issued in TN

Legal business name

KEVIN B. COLLEN, M.D. PLLC

Practice address

2011 Ashwood Ave
Nashville, TN 37212-5015

Phone

(615) 383-4694

Fax

(615) 383-0228

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Kevin B. Collen, M.D.NPI 1235153446

Title

Owner

Phone

(615) 969-9680

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Boyd Collen, MD

  • Psychiatry Physician
  • Brentwood, TN
  • NPI 1235153446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1326306374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 ACKLEN AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123311",
            "telephone_number": "615-969-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ASHWOOD AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372125015",
            "telephone_number": "615-383-4694",
            "fax_number": "615-383-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN B. COLLEN, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "COLLEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-969-9680",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "38029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3327656",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.