Active NPI
Ernst Psychiatric Services, LLC
- Clinical Social Worker
- Bristol, TN
National Provider Identifier
1447485958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ERNST PSYCHIATRIC SERVICES, LLC
- Practice address
- 100 5TH St Ste 340
Shelby Square
Bristol, TN 37620-5919 - Phone
- (423) 990-2100
- Fax
- (423) 652-2884
- NPI assigned
- May 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Pat Ernst, APRN, BC
- Title
- Owner
- Phone
- (423) 990-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
100 5TH St Ste 340
Shelby Square
Bristol, TN 37620-5919
Mailing address
P.O. Box 154
Bristol, TN 37621-0154
Phone (423) 990-2100
National Provider Directory
National Provider DirectoryLocations
100 5th St
Ste 340
Bristol, TN 37620
Phone (423) 990-2100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Johnson City, TN
- NPI 1518113281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267056000000",
"number": "1447485958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 154",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376210154",
"telephone_number": "423-990-2100",
"fax_number": "423-652-2884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 5TH ST STE 340",
"address_2": "SHELBY SQUARE",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376205919",
"telephone_number": "423-990-2100",
"fax_number": "423-652-2884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERNST PSYCHIATRIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-28",
"last_updated": "2010-02-25",
"status": "A",
"authorized_official_last_name": "ERNST",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "PAT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-990-2100",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN, BC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.