John B. Averitt, PH.D., Licensed Psychologist

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

P1360 Issued in TN

Legal business name

JOHN B. AVERITT, PH.D., LICENSED PSYCHOLOGIST

Practice address

100 W 4TH St
Suite 300
Cookeville, TN 38501-2448

Phone

(931) 526-2722

Fax

(931) 526-6478

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John Barry Averitt, PH.D.NPI 1174513097

Title

Licensed Psychologist

Phone

(931) 526-2722

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Barry Averitt, PH.D.

  • Counseling Psychologist
  • Cookeville, TN
  • NPI 1174513097
  NPD (past) Authorized official

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1538568985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 4TH ST",
            "address_2": "SUITE 300",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012448",
            "telephone_number": "931-526-2722",
            "fax_number": "931-526-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 4TH ST",
            "address_2": "SUITE 300",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012448",
            "telephone_number": "931-526-2722",
            "fax_number": "931-526-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B. AVERITT, PH.D., LICENSED PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "AVERITT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "931-526-2722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TN",
            "license": "P1360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter John Jermakowicz, M.D., PH.D.
• Joseph A Jestus, M.D.
• Melinda Jane Jetter, R.N.
• Deborah Jiang, M.D.
• Maria Guadalupe Jimenez, LPN
• Judith T Johns, NP-BC
• Mary H. Johns, D.D.S.
• Stephen J. Johns Sr., D.D.S.
• Alicia Johnson, LPN
• Amy S. Johnson, M.D.

• Adult Mental Health Clinic/Center in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Adult Mental Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.