Active NPI
Center for Trauma Recovery and Resolution
- Health Service Psychologist
- Mount Juliet, TN
National Provider Identifier
1346007564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- Legal business name
- CENTER FOR TRAUMA RECOVERY AND RESOLUTION
- Practice address
- 1077 Watermark Way
Mount Juliet, TN 37122-3101 - Phone
- (615) 669-0508
- NPI assigned
- Mar 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura Anderson, PHD, LMFT
- Title
- Ceo
- Phone
- (615) 669-0508
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | Primary |
Addresses
Primary practice location
1077 Watermark Way
Mount Juliet, TN 37122-3101
Mailing address
11205 Lebanon Rd Ste 547
Mount Juliet, TN 37122-5545
Phone (615) 669-0508
Other names 1
- Center for Trauma Resolution and Recovery
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Nashville, TN
- NPI 1518581198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1346007564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11205 LEBANON RD STE 547",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371225545",
"telephone_number": "615-669-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 WATERMARK WAY",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371223101",
"telephone_number": "615-669-0508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR TRAUMA RECOVERY AND RESOLUTION",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "615-669-0508",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LMFT"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Center for Trauma Resolution and Recovery",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.