Core Psychiatry Inc.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CORE PSYCHIATRY INC.

Practice address

1011 W Poplar Ave Ste 7
Collierville, TN 38017-2577

Phone

(901) 446-0226

NPI assigned

Oct 18, 2020

Organization subpart

No

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

Authorized official

Name

Jason Eric Bruno

Title

Practice Administration

Phone

(901) 446-0226

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Christy Hamon Bruno, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Collierville, TN
  • NPI 1154836922
  Medicare reassignment Care Compare group NPD
• Allison Tolar Darnell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Collierville, TN
  • NPI 1043045610
  Medicare reassignment Care Compare group NPD
• Leslie Alison Stucker, NP

  • Family Nurse Practitioner
  • Cordova, TN
  • NPI 1861879496
  Medicare reassignment Care Compare group NPD
• Ross Jordan Tapley, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Collierville, TN
  • NPI 1447938139
  Medicare reassignment Care Compare group NPD
• Katelyn Lee Conner, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Southaven, MS
  • NPI 1760902712

  TN

  Medicare reassignment Care Compare group NPD
• Ariel Michelle Butler, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cordova, TN
  • NPI 1700534310
  Medicare reassignment NPD

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1396344784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W POPLAR AVE STE 7",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172577",
            "telephone_number": "901-446-0226",
            "fax_number": "901-422-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W POPLAR AVE STE 7",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172577",
            "telephone_number": "901-446-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PSYCHIATRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-18",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATION",
        "authorized_official_telephone_number": "901-446-0226"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collierville Pediatrics, LLC
• Collierville Vision Center PLLC
• Comfort Care Transit Solutions LLC
• Comfort Home Sleep Test Corp
• Core Care Assistance LLC
• Corp. of Collierville
• Floyd L Covey Sr., PH.D
• Jessica Mills Cowles
• Traci Leigh Cox, PHARMD
• Steven Randall Creasy, MD

• Psychiatric/Mental Health Nurse Practitioner in Collierville, TN
• Providers in Collierville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.