Organization Active NPI

Steven C. Wyatt, PH.D., Inc

  • Counseling Psychologist
  • Knoxville, TN
National Provider Identifier
1386743003
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2708 Issued in TN
Legal business name
STEVEN C. WYATT, PH.D., INC
Practice address
9041 Executive Park Drive
Suite 210
Knoxville, TN 37923
Phone
(865) 603-2192
Fax
(865) 381-0544
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Dr. Steven Charles Wyatt, PH.D.
Title
Sole Owner
Phone
(865) 603-2192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 2708 TN Primary

Addresses

Primary practice location

9041 Executive Park Drive
Suite 210
Knoxville, TN 37923

Mailing address

9041 Executive Park Drive
Suite 210
Knoxville, TN 37923
Phone (865) 603-2192

National Provider Directory

National Provider Directory

Locations

8912 Town and Country Cir
Ste 3
Knoxville, TN 37923
Phone (865) 603-2192

9041 Executive Park Dr
Ste 210
Knoxville, TN 37923
Phone (865) 603-2192

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1386743003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 EXECUTIVE PARK DRIVE",
            "address_2": "SUITE 210",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-603-2192",
            "fax_number": "865-381-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 EXECUTIVE PARK DRIVE",
            "address_2": "SUITE 210",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-603-2192",
            "fax_number": "865-381-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN C. WYATT, PH.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "865-603-2192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "2708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.