Active NPI
Mental Health Centers and Clinics of Tennessee
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Memphis, TN
National Provider Identifier
1396852125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- L214-076-6288
- Legal business name
- MENTAL HEALTH CENTERS AND CLINICS OF TENNESSEE
- Doing business as
- Whitehaven Southwest Mental Health Center, Inc.
- Practice address
- 1087 Alice Ave
Memphis, TN 38106-6543 - Phone
- (901) 259-1920
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard B Cam Pbell
- Title
- Executive Director
- Phone
- (901) 259-1920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | L214-076-6288 | TN | Primary |
Addresses
Primary practice location
1087 Alice Ave
Memphis, TN 38106-6543
Mailing address
1087 Alice Ave
Memphis, TN 38106-6543
Phone (901) 259-1920
Other names 1
- Whitehaven Southwest Mental Health Center, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230595200000",
"number": "1396852125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1087 ALICE AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381066543",
"telephone_number": "901-259-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1087 ALICE AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381066543",
"telephone_number": "901-259-1920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH CENTERS AND CLINICS OF TENNESSEE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2008-12-30",
"status": "A",
"authorized_official_last_name": "CAM PBELL",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "901-259-1920",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "TN",
"license": "L214-076-6288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Whitehaven Southwest Mental Health Center, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.