Patterns Behavioral Services Tennessee Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PATTERNS BEHAVIORAL SERVICES TENNESSEE INC

Practice address

5641 Merchants Center Blvd Ste 104
Knoxville, TN 37912-3468

Phone

(657) 444-9002

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Ihab Shahawi

Title

Ceo

Phone

(657) 206-9594

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1376034090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E IMPERIAL HWY STE 203",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928211706",
            "telephone_number": "657-444-9002",
            "fax_number": "714-677-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 MERCHANTS CENTER BLVD STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379123468",
            "telephone_number": "657-444-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERNS BEHAVIORAL SERVICES TENNESSEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "SHAHAWI",
        "authorized_official_first_name": "IHAB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-206-9594"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q030374",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrell Patrick
• Tinsley Patrick, MD
• Whitney Paige Patrick, SLP
• Timothy David Patru, M.D.
• Andrew Rex Patten, DDS
• Amanda Dezere'a Patterson, LMSW
• Cherain Patterson, CNA
• Erin Patterson, NP-C
• Jill Marie Patterson, FNP
• Katherine Cannon Patterson

• Behavior Analyst in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.