Organization Active NPI

Robinson Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winchester, TN
National Provider Identifier
1407694599
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ROBINSON MENTAL HEALTH LLC
Practice address
100 1St Ave SW Ste 202E
Winchester, TN 37398-1754
Phone
(423) 615-8691
NPI assigned
Jul 15, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Bethany Robinson, DNP, RNNPI 1194464966
Title
Owner
Phone
(256) 708-3032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

100 1St Ave SW Ste 202E
Winchester, TN 37398-1754

Mailing address

4945 Mingo Rd
Belvidere, TN 37306-2617
Phone (256) 708-3032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250109000928 TN Part B Supplier - Clinic/Group Practice 9234667973 Receives reassigned benefits from 1 practitioner
Practice locations: Winchester, TN

National Provider Directory

National Provider Directory

Locations

100 1st Ave SW
Ste 202E
Winchester, TN 37398
Phone (256) 929-6188

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1407694599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 MINGO RD",
            "city": "BELVIDERE",
            "state": "TN",
            "postal_code": "373062617",
            "telephone_number": "256-708-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 1ST AVE SW STE 202E",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981754",
            "telephone_number": "423-615-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-708-3032",
        "authorized_official_credential": "DNP, RN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.