Advanced Horizons LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

I 215-096-9686 Issued in TN

Legal business name

ADVANCED HORIZONS LLC

Practice address

6685 Quince Rd
Suite 124
Memphis, TN 38119-8038

Phone

(901) 624-3581

Fax

(901) 757-3830

NPI assigned

Nov 8, 2006

Last updated

Aug 21, 2007By 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

Stan Caummisar

Title

Cheif Manager

Phone

(901) 624-3581

Specialties & licenses 1

Addresses

Locations

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.

• Anita S Varma, M.D.

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1760498182
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1417027327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6685 QUINCE RD",
            "address_2": "SUITE 124",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198038",
            "telephone_number": "901-624-3581",
            "fax_number": "901-757-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6685 QUINCE RD",
            "address_2": "SUITE 124",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198038",
            "telephone_number": "901-624-3581",
            "fax_number": "901-757-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HORIZONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "CAUMMISAR",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "CHEIF MANAGER",
        "authorized_official_telephone_number": "901-624-3581"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TN",
            "license": "I 215-096-9686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Adult Mental Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.