Organization Active NPI

Ernst Psychiatric Services, LLC

  • Clinical Social Worker
  • Bristol, TN
National Provider Identifier
1447485958
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Feb 25, 2010

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.