Organization Active NPI

Centerstone of Tennessee Inc

  • Community/Behavioral Health Agency
  • Clarksville, TN
National Provider Identifier
1417334061
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTERSTONE OF TENNESSEE INC
Practice address
1820 Memorial Cir
Clarksville, TN 37043-4539
Phone
(931) 801-3175
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Jill Crosby, MSW
Title
Mobile Crisis Specialist
Phone
(931) 801-3175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1820 Memorial Cir
Clarksville, TN 37043-4539

Mailing address

1820 Memorial Cir
Clarksville, TN 37043-4539
Phone (931) 801-3175

National Provider Directory

National Provider Directory
Tax ID family
Centerstone of Tennessee in27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1417334061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MEMORIAL CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434539",
            "telephone_number": "931-801-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MEMORIAL CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434539",
            "telephone_number": "931-801-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE OF TENNESSEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MOBILE CRISIS SPECIALIST",
        "authorized_official_telephone_number": "931-801-3175",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.