Organization Active NPI

Nashville Neuropsychology, PLLC

  • Psychologist
  • Nashville, TN
National Provider Identifier
1356485205
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P2026 Issued in TN
Legal business name
NASHVILLE NEUROPSYCHOLOGY, PLLC
Practice address
2011 Church St
Suite 501
Nashville, TN 37203-2000
Phone
(615) 321-0101
Fax
(615) 284-4679
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Christian Edward Qualls, PSY.D.
Title
Clinical Psychologist
Phone
(615) 321-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X P2026 TN Primary

Addresses

Primary practice location

2011 Church St
Suite 501
Nashville, TN 37203-2000

Mailing address

2011 Church St
Suite 501
Nashville, TN 37203-2000
Phone (615) 321-0101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1356485205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CHURCH ST",
            "address_2": "SUITE 501",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032000",
            "telephone_number": "615-321-0101",
            "fax_number": "615-284-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 CHURCH ST",
            "address_2": "SUITE 501",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032000",
            "telephone_number": "615-321-0101",
            "fax_number": "615-284-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE NEUROPSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "615-321-0101",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P2026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.