Organization Active NPI

Psychiatric Consultants of Tennessee PLLC

  • Psychiatry Physician
  • Clarksville, TN
National Provider Identifier
1366655284
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD0000030966 Issued in TN
Legal business name
PSYCHIATRIC CONSULTANTS OF TENNESSEE PLLC
Practice address
915 McClardy Rd
Clarksville, TN 37042-6734
Phone
(931) 221-9990
Fax
(931) 221-9993
NPI assigned
May 7, 2007
Organization subpart
Yes
Parent organization
PSYCHIATRIC CONSULTANTS OF TENNESSEE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Dr. Michael H McGhee, M.D.NPI 1750358552
Title
Psychiatrist
Phone
(931) 221-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD0000030966 TN Primary

Addresses

Primary practice location

915 McClardy Rd
Clarksville, TN 37042-6734

Mailing address

915 McClardy Rd
Clarksville, TN 37042-6734
Phone (931) 221-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071003000887 TN Part B Supplier - Clinic/Group Practice 6406941558 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Clarksville, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Psychiatric Consultants

Locations

25 Jefferson St
Ste 200A
Clarksville, TN 37040
Phone (931) 494-7131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1366655284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MCCLARDY RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370426734",
            "telephone_number": "931-221-9990",
            "fax_number": "931-221-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MCCLARDY RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370426734",
            "telephone_number": "931-221-9990",
            "fax_number": "931-221-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CONSULTANTS OF TENNESSEE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCHIATRIC CONSULTANTS OF TENNESSEE PLLC",
        "enumeration_date": "2007-05-07",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "931-221-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000030966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.