NPIMap

Organization Active NPI

Psychopharmacology Associates, Inc.

  • Clinical Psychologist
  • Shelbyville, TN
National Provider Identifier
1417988965
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P0000000878 Issued in TN
Legal business name
PSYCHOPHARMACOLOGY ASSOCIATES, INC.
Practice address
112 Quail Hollow LN
Shelbyville, TN 37160-7162
Phone
(931) 680-4370
Fax
(931) 680-4370
NPI assigned
Jul 5, 2006
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Mr. James M Reavis
Title
President
Phone
(931) 680-4370

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P0000002187 TN
Clinical Psychologist 103TC0700X P0000000878 TN Primary

Addresses

Primary practice location

112 Quail Hollow LN
Shelbyville, TN 37160-7162

Mailing address

PO Box 743
Lebanon, TN 37088-0743
Phone (931) 680-4370

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1417988965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370880743",
            "telephone_number": "931-680-4370",
            "fax_number": "931-680-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 QUAIL HOLLOW LN",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607162",
            "telephone_number": "931-680-4370",
            "fax_number": "931-680-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOPHARMACOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "REAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-680-4370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000002187",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000000878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.