Organization Active NPI

Mental Health Centers and Clinics of Tennessee

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Memphis, TN
National Provider Identifier
1396852125
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
L214-076-6288 Issued in TN
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

Updated by the provider on Dec 30, 2008

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)CodeLicenseStatePrimary
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. Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.