Individual provider Active NPI

Victor Wood Barr

  • Psychologist
  • Knoxville, TN
National Provider Identifier
1376099689
Registry record updated Aug 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1862 Issued in TN
Practice address
1904 Grenada Blvd
Knoxville, TN 37922-6316
Phone
(865) 368-8609
NPI assigned
Aug 27, 2016
Last updated
Aug 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1862 TN Primary

Addresses

Primary practice location

1904 Grenada Blvd
Knoxville, TN 37922-6316

Mailing address

1904 Grenada Blvd
Knoxville, TN 37922-6316
Phone (865) 368-8609

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004000679 TN Practitioner - Clinical Psychologist 5294023404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of North Carolina at Chapel Hill School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Medicine Institute PCGroup PAC ID 4284828385, 21 clinicians

Practice addresses (Care Compare)

2607 Kingston Pike
Suite 250
Knoxville, TN 37919-3331
Phone (865) 264-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1862TNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Institute PC CurrentSince Aug 30, 2016 Accepting new patients

Locations

2607 Kingston Pike
Ste 250
Knoxville, TN 37919
Phone (865) 264-2400

305 Westfield Rd
Knoxville, TN 37919
Phone (865) 409-5001

6231 Highland Place Way
Ste 101
Knoxville, TN 37919
Phone (865) 264-2400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472256000000",
    "number": "1376099689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 GRENADA BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226316",
            "telephone_number": "865-368-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 GRENADA BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226316",
            "telephone_number": "865-368-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARR",
        "first_name": "VICTOR",
        "middle_name": "WOOD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "1862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.