Behavioral Medicine, PLLC
Organization Active NPI Psychiatry Physician · Paris, TN
NPI 1366620643 · NPPES record last updated Aug 5, 2021
Key facts
- NPI
- 1366620643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 9580 (TN)
- Legal business name
- BEHAVIORAL MEDICINE, PLLC
- Practice address
- 401 Tyson Ave
Paris, TN 38242-4821 - Phone
- (731) 642-4422
- Fax
- (731) 642-0068
- NPI assigned
- Feb 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Donald Gold
- Title
- Owner
- Phone
- (731) 642-4422
Practitioners 7
-
Susan Patricia Dierkes, PA-C
-
Leslie Leeann Ellis, FNP
-
Donald D. Gold Jr., M.D.
-
Rina Marie Prosser, FNP-BC
National Provider Directory
Locations
401 Tyson Ave
Paris, TN 38242
Phone (731) 642-4422
706 E Wood St
Paris, TN 38242
Phone (731) 642-4422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | 9580 | TN | Yes |
Addresses
Primary practice location
401 Tyson Ave
Paris, TN 38242-4821
Mailing address
PO Box 731
Paris, TN 38242-0731
Phone (731) 642-4422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE4535 | Other | TN | RR MEDICARE |
| 3723326 | Medicaid | TN | |
| 09014277 | Medicaid | MS | |
| 64053168 | Medicaid | KY |
Other names
- BEHAVIORAL MEDICINE
Other providers in Paris, TN
- Angela D Bartholomew
- Barton Family Health Clinic, LLC
- Jill Nicolette Barton
- Yvette Cooper Barton
- John William Beddies
- Paula C Bell
- Teresa C Bennett
- Margaret Mary Betterman-Adams
- Cristina Blagburn
- Bone & Joint Specialists, PLLC
All providers in Paris, TN · Psychiatry Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.