Knoxville Psychological Center, PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2662 Issued in TN

Legal business name

KNOXVILLE PSYCHOLOGICAL CENTER, PLLC

Practice address

4048 Sutherland Ave
Knoxville, TN 37919-5103

Phone

(865) 450-9880

NPI assigned

Oct 30, 2008

Last updated

Oct 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robyn Lynne Branca, PH. D.NPI 1023215985

Title

President

Phone

(865) 450-9880

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robyn Lynne Branca, PHD

  • Counseling Psychologist
  • Knoxville, TN
  • NPI 1023215985
  Authorized official Same address or phone
• Paula J Fite, PHD

  • Clinical Child & Adolescent Psychologist
  • Knoxville, TN
  • NPI 1013243484
  NPD (past)

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1396998613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195103",
            "telephone_number": "865-450-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195103",
            "telephone_number": "865-450-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE PSYCHOLOGICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "BRANCA",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-450-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "2662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Knoxville Rehabilitation Specialists

• Counseling Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Counseling Psychologist in Tennessee

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