Organization Active NPI

Addiction Behavioral Care

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Nashville, TN
National Provider Identifier
1477161982
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ADDICTION BEHAVIORAL CARE
Practice address
2617 Grandview Ave Ste 103
Nashville, TN 37211-2263
Phone
(615) 942-5433
Fax
(615) 942-8192
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Madison Wood
Title
Clinic Manager
Phone
(615) 556-2673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2617 Grandview Ave Ste 103
Nashville, TN 37211-2263

Mailing address

2617 Grandview Ave Ste 103
Nashville, TN 37211-2263
Phone (615) 942-5433

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
44D2194207Addiction Behavioral Care LLC2617 Grandview Avenue Suite 103, Nashville, TN 37211Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory

Locations

2617 Grandview Ave
Ste 103
Nashville, TN 37211
Phone (615) 942-5433

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1477161982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 GRANDVIEW AVE STE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112263",
            "telephone_number": "615-942-5433",
            "fax_number": "615-942-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 GRANDVIEW AVE STE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112263",
            "telephone_number": "615-942-5433",
            "fax_number": "615-942-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION BEHAVIORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "615-556-2673"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "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 Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.