Katie Beth Price-Verdell, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3251 Issued in TN

Practice address

156 W University Pkwy Ste C
Jackson, TN 38305-1617

Phone

(731) 394-0749

Fax

(731) 736-1358

NPI assigned

Aug 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Psychological Services

  • Clinical Psychologist
  • Jackson, TN
  • NPI 1912026188
  NPD (past)

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1336496645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W UNIVERSITY PKWY STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051617",
            "telephone_number": "731-394-0749",
            "fax_number": "731-736-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W UNIVERSITY PKWY STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051617",
            "telephone_number": "731-394-0749",
            "fax_number": "731-736-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE-VERDELL",
        "first_name": "KATIE",
        "middle_name": "BETH",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Jackson, TN
• Providers in Jackson, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.