NPIMap

Organization Active NPI

Cool Springs Psychiatric Group PLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1447816384
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COOL SPRINGS PSYCHIATRIC GROUP PLC
Practice address
1909 Mallory Lane
Suite 200
Franklin, TN 37067-2842
Phone
(615) 771-1100
Fax
(615) 771-1109
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Kristofer Ryan Saffle
Title
Authorized/Owner
Phone
(615) 771-1100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1909 Mallory Lane
Suite 200
Franklin, TN 37067-2842

Mailing address

1909 Mallory Lane
Suite 200
Franklin, TN 37067-2842
Phone (615) 771-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220203001701 TN Part B Supplier - Clinic/Group Practice 7315330966 Receives reassigned benefits from 13 practitioners
Practice locations: Franklin, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2283867Cool Springs Psychiatric Group1909 Mallory Lane Ste 200, Franklin, TN 37067Certificate of waiverJun 13, 2027

National Provider Directory

National Provider Directory

Locations

1909 Mallory Ln
Ste 200
Franklin, TN 37067
Phone (615) 771-1100

1909 Mallory Ln
#20
Franklin, TN 37067

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1447816384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LANE",
            "address_2": "SUITE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672842",
            "telephone_number": "615-771-1100",
            "fax_number": "615-771-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LANE",
            "address_2": "SUITE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672842",
            "telephone_number": "615-771-1100",
            "fax_number": "615-771-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOL SPRINGS PSYCHIATRIC GROUP PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "SAFFLE",
        "authorized_official_first_name": "KRISTOFER",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "AUTHORIZED/OWNER",
        "authorized_official_telephone_number": "615-771-1100"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.