NPIMap

Organization Active NPI

Ctr. for Individ. & Family Effectiveness

  • Community/Behavioral Health Agency
  • Chattanooga, TN
National Provider Identifier
1467708594
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1000000010446 Issued in TN
Legal business name
CTR. FOR INDIVID. & FAMILY EFFECTIVENESS
Practice address
2441 Broad St.
Ste. 150
Chattanooga, TN 37408
Phone
(423) 265-7935
Fax
(423) 265-8204
NPI assigned
Jul 26, 2012
Organization subpart
Yes
Parent organization
THE CENTER FOR INDIVIDUAL & FAMILY EFFECTIVENESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Authorized official

Name
Dr. Bertin R. Glennon, PH.D.
Title
Executive Director
Phone
(423) 265-7935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1000000010446 TN Primary

Addresses

Primary practice location

2441 Broad St.
Ste. 150
Chattanooga, TN 37408

Mailing address

310 E. 8TH St.
Ste. C
Chattanooga, TN 37403
Phone (423) 265-7935

National Provider Directory

National Provider Directory
Tax ID family
Ctr for Individ Family Effectiveness2 organizations share this tax ID, including this one
Part of
Ctr for Individ Family Effectiveness

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2441 Broad St
Ste 150
Chattanooga, TN 37408
Phone (423) 265-7935

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1467708594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E. 8TH ST.",
            "address_2": "STE. C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "423-265-7935",
            "fax_number": "423-265-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 BROAD ST.",
            "address_2": "STE. 150",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37408",
            "telephone_number": "423-265-7935",
            "fax_number": "423-265-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTR. FOR INDIVID. & FAMILY EFFECTIVENESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CENTER FOR INDIVIDUAL & FAMILY EFFECTIVENESS",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "GLENNON",
        "authorized_official_first_name": "BERTIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "423-265-7935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "1000000010446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.