New Haven, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

L000000015356 Issued in TN

Legal business name

NEW HAVEN, LLC

Practice address

8001 Conner Road Ste102
Powell, TN 37849

Phone

(865) 947-3777

Fax

(865) 947-6777

NPI assigned

Aug 9, 2017

Organization subpart

No

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

Authorized official

Name

Donna Maria Smith

Title

Executive Director

Phone

(865) 947-3777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1417472507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 CONNER RD STE 102",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493104",
            "telephone_number": "865-947-3777",
            "fax_number": "865-947-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 CONNER ROAD STE102",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "37849",
            "telephone_number": "865-947-3777",
            "fax_number": "865-947-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-947-3777"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "L000000015356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L000000015356",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Mynatt
• Chikodili Nora Nebuwa, M.D
• Susan Negus, PHARMD
• Amy Province Neil, ANP
• Debra A Nelson
• Tammy Y Newman, PA
• Eric R Nicely, M.D.
• Erica Irwin Northern, MS
• Nicole Elizabeth Nugent, FNP-C
• Peter J Ochoa, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Powell, TN
• Providers in Powell, TN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.