Germantown Psychological Associates PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

GERMANTOWN PSYCHOLOGICAL ASSOCIATES PC

Practice address

7516 Enterprise Ave
#1
Germantown, TN 38138-3802

Phone

(901) 755-5802

Fax

(901) 757-2249

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Daraleen K Hottum

Title

Administrator

Phone

(901) 755-5802

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 13

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

• Alicia Luscomb Autry, PH.D.

  • Psychologist
  • Germantown, TN
  • NPI 1528519576
  Medicare reassignment Care Compare group NPD
• Richard Lewis Luscomb, PHD

  • Psychologist
  • Germantown, TN
  • NPI 1821067752
  Medicare reassignment Care Compare group NPD
• Karen Dianne Sanders, LCSW

  • Social Worker
  • Germantown, TN
  • NPI 1346219599
  Medicare reassignment Care Compare group NPD
• Sarah Pierce Thornell, LCSW

  • Clinical Social Worker
  • Germantown, TN
  • NPI 1114719168
  Medicare reassignment Care Compare group NPD
• Kaylee Ann Bruijn, PH.D.

  • Psychologist
  • Germantown, TN
  • NPI 1346748662
  Medicare reassignment NPD
• Ashley Snow, LPC-MHSP

  • Mental Health Counselor
  • Germantown, TN
  • NPI 1558094540
  NPD
• Roy David Greenberg, PHD

  • Psychologist
  • Germantown, TN
  • NPI 1043289291
  NPD (past)
• Jean Wheat Guy, PHD

  • Psychologist
  • Germantown, TN
  • NPI 1023078706
  NPD (past)
• Sandra Faye McCullough, LCSW

  • Social Worker
  • Germantown, TN
  • NPI 1043270895
  NPD (past)
• Rebecca Rutledge, PH.D.

  • Forensic Psychologist
  • Memphis, TN
  • NPI 1578513909
  NPD (past)
• Elizabeth Shmikler, PHD

  • Psychologist
  • Germantown, TN
  • NPI 1952074254
  NPD (past)
• Patricia T Carter, LICSW

  • Clinical Social Worker
  • Williamstown, MA
  • NPI 1194734178
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497718639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7516 ENTERPRISE AVE",
            "address_2": "#1",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383802",
            "telephone_number": "901-755-5802",
            "fax_number": "901-757-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7516 ENTERPRISE AVE",
            "address_2": "#1",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383802",
            "telephone_number": "901-755-5802",
            "fax_number": "901-757-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN PSYCHOLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOTTUM",
        "authorized_official_first_name": "DARALEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-755-5802"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelli Anne Gerth, RPH
• Nikole Diane Gettings, CNM

• Psychologist in Germantown, TN
• Providers in Germantown, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.