Organization Active NPI

Priscilla Perry Center

  • Community/Behavioral Health Agency
  • Morristown, TN
National Provider Identifier
1346728870
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6532 Issued in TN
Legal business name
PRISCILLA PERRY CENTER
Practice address
3806 Carlyle PL
Morristown, TN 37814-6594
Phone
(704) 670-2598
NPI assigned
Aug 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Authorized official

Name
Tyneisia Chriscynthia Herndon
Title
Ceo/President
Phone
(704) 670-2598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6532 TN Primary

Addresses

Primary practice location

3806 Carlyle PL
Morristown, TN 37814-6594

Mailing address

3806 Carlyle PL
Morristown, TN 37814-6594
Phone (704) 670-2598

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1346728870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 CARLYLE PL",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378146594",
            "telephone_number": "704-670-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 CARLYLE PL",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378146594",
            "telephone_number": "704-670-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISCILLA PERRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "TYNEISIA",
        "authorized_official_middle_name": "CHRISCYNTHIA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "704-670-2598"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "6532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.