Individual provider Active NPI

Frank Omar Byndloss Jr., PSYD

  • Psychologist
  • Nashville, TN
National Provider Identifier
1457632416
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P3570 Issued in TN
Practice address
210 25TH Ave N Ste 1220
Nashville, TN 37203-1640
Phone
(615) 933-1095
NPI assigned
Sep 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Psychologist 103T00000X
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 3570 TN
Psychologist 103T00000X P3570 TN Primary

Addresses

Primary practice location

210 25TH Ave N Ste 1220
Nashville, TN 37203-1640

Mailing address

210 25TH Ave N Ste 1220
Nashville, TN 37203-1640
Phone (615) 933-1095

Other practice location 1

1600 California Dr.
Vacaville, CA 95687
Phone (702) 813-9418

Other practice location 2

1600 California Dr.
Vacaville, CA 95687
Phone (702) 813-9418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P3570TNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Evaluation and Assessment Partners Clinical Current Accepting new patients

Locations

210 25th Ave N
Ste 1220
Nashville, TN 37203
Phone (615) 549-5033

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1457632416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1220",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031640",
            "telephone_number": "615-933-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1220",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031640",
            "telephone_number": "615-933-1095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 California Dr.",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "95687",
            "country_code": "US",
            "telephone_number": "702-813-9418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 California Dr.",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "95687",
            "country_code": "US",
            "telephone_number": "702-813-9418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYNDLOSS",
        "first_name": "FRANK",
        "middle_name": "OMAR",
        "name_suffix": "Jr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-05",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3570",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P3570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.