NPIMap

Organization Active NPI

Beacon Professional Services, PLC

  • Child & Adolescent Psychiatry Physician
  • Knoxville, TN
National Provider Identifier
1447402268
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
40604 Issued in TN
Legal business name
BEACON PROFESSIONAL SERVICES, PLC
Practice address
1240 Old Weisgarber Rd Ste B
Knoxville, TN 37909-2683
Phone
(865) 685-4265
Fax
(865) 862-8983
NPI assigned
Oct 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Dr. Brian Albert Ameel, M.D.
Title
President
Phone
(865) 685-4265

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084A0401X 40604 TN
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 40604 TN
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X 40604 TN Primary

Addresses

Primary practice location

1240 Old Weisgarber Rd Ste B
Knoxville, TN 37909-2683

Mailing address

1240 Old Weisgarber Rd Ste B
Knoxville, TN 37909-2683
Phone (865) 685-4265

National Provider Directory

National Provider Directory

Locations

1240 Old Weisgarber Rd
Ste B
Knoxville, TN 37909
Phone (865) 685-4265

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1447402268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 OLD WEISGARBER RD STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092683",
            "telephone_number": "865-685-4265",
            "fax_number": "865-862-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 OLD WEISGARBER RD STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092683",
            "telephone_number": "865-685-4265",
            "fax_number": "865-862-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON PROFESSIONAL SERVICES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "AMEEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-685-4265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TN",
            "license": "40604",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "40604",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "40604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.