Active NPI
Taly Drimer Kagan, MD
- Psychiatry Physician
- Goodlettsville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 53137
- Practice address
- 304 Northcreek Blvd Ste 120
Goodlettsville, TN 37072-2098 - Phone
- (615) 859-9902
- Fax
- (615) 859-9906
- NPI assigned
- Jun 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | BP10038394 | TX | |
| Psychiatry Physician | 2084P0800X | 2014-00919 | NC | |
| Psychiatry Physician | 2084P0800X | P7270 | TX | |
| Psychiatry Physician | 2084P0800X | 53137 | TN | Primary |
Addresses
Primary practice location
304 Northcreek Blvd Ste 120
Goodlettsville, TN 37072-2098
Mailing address
304 Northcreek Blvd Ste 120
Goodlettsville, TN 37072-2098
Phone (615) 859-9902
Other names 1
- Dr. Taly Drimer-Kagan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 Stewarts Ferry Pike
Nashville, TN 37214-3325
Phone (615) 902-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10038394 | TX | MD | Psychiatry Physician |
| P7270 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Tennessee | Current | Accepting new patients | |
| State of Tennessee | Current | Accepting new patients | |
| State of Tennessee State F&a Payroll | Current | Accepting new patients | |
| Christopher Dennis MD PLLC | Psychiatry | Current | Accepting new patients |
Locations
900 Heritage Way
Brentwood, TN 37027
Phone (615) 507-2686
2084 W Main St
Milan, TN 38358
Phone (731) 686-8321
500 Deaderick St
Bldg 6TH
Nashville, TN 37242
221 Stewarts Ferry Pike
Nashville, TN 37214
Phone (615) 902-7400
Organizations & group practices 4
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.
-
- Public Health or Welfare Agency
- Jasper, TN
- NPI 1487791315
-
- Public Health or Welfare Agency
- Springfield, TN
- NPI 1316090145
-
- Psychiatric Hospital
- Nashville, TN
- NPI 1194869297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506902400000",
"number": "1366763591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 NORTHCREEK BLVD STE 120",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722098",
"telephone_number": "615-859-9902",
"fax_number": "615-859-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 NORTHCREEK BLVD STE 120",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722098",
"telephone_number": "615-859-9902",
"fax_number": "615-859-9906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIMER KAGAN",
"first_name": "TALY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-22",
"last_updated": "2017-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "BP10038394",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2014-00919",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "P7270",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "53137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TALY",
"last_name": "DRIMER-KAGAN",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.