Active NPI
Nashville Neuropsychology, PLLC
- Psychologist
- Nashville, TN
National Provider Identifier
1356485205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P2026
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryNPI 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.