Active NPI
Cynthia Brantley
- Behavior Technician
- Memphis, TN
National Provider Identifier
1366041493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-178386
- Practice address
- 7007 Stage Rd
Memphis, TN 38133-4977 - Phone
- (901) 677-0422
- Fax
- (317) 520-8200
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-178386 | TN | Primary |
Addresses
Primary practice location
7007 Stage Rd
Memphis, TN 38133-4977
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
1079 N Houston Levee Rd
Cordova, TN 38018
Phone (901) 248-7440
Other practice location 2
1079 N Houston Levee Rd
Cordova, TN 38018
Phone (901) 248-7440
Other practice location 3
1079 N Houston Levee Rd
Cordova, TN 38018
Phone (901) 248-7440
Other practice location 4
1079 N Houston Levee Rd
Cordova, TN 38018
Phone (901) 248-7440
Other practice location 5
1079 N Houston Levee Rd
Cordova, TN 38018
Phone (901) 248-7440
Other practice location 6
1079 N Houston Levee Rd
Cordova, TN 38018
Phone (901) 248-7440
Other practice location 7
1079 N Houston Levee Rd
Cordova, TN 38018
Phone (901) 248-7440
Other practice location 8
1079 N Houston Levee Rd
Cordova, TN 38018
Phone (901) 248-7440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-178386 | TN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Child & Adolescent Psychiatry Physician
- Brentwood, TN
- NPI 1881352177
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1366041493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7007 STAGE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381334977",
"telephone_number": "901-677-0422",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "1079 N Houston Levee Rd",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "38018",
"country_code": "US",
"telephone_number": "901-248-7440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1079 N Houston Levee Rd",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "38018",
"country_code": "US",
"telephone_number": "901-248-7440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1079 N Houston Levee Rd",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "38018",
"country_code": "US",
"telephone_number": "901-248-7440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1079 N Houston Levee Rd",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "38018",
"country_code": "US",
"telephone_number": "901-248-7440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1079 N Houston Levee Rd",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "38018",
"country_code": "US",
"telephone_number": "901-248-7440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1079 N Houston Levee Rd",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "38018",
"country_code": "US",
"telephone_number": "901-248-7440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1079 N Houston Levee Rd",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "38018",
"country_code": "US",
"telephone_number": "901-248-7440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1079 N Houston Levee Rd",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "38018",
"country_code": "US",
"telephone_number": "901-248-7440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANTLEY",
"first_name": "CYNTHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TN",
"license": "RBT-21-178386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.