Individual provider Active NPI

Pamela Mary Auble, PH.D.

  • Clinical Neuropsychologist
  • Nashville, TN
National Provider Identifier
1548384407
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
P1050 Issued in TN
Practice address
2200 21St Ave S
Suite 401
Nashville, TN 37212-4942
Phone
(615) 340-4686
Fax
(615) 750-5796
NPI assigned
Mar 18, 2007
Last updated
Oct 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X P1050 TN Primary

Addresses

Primary practice location

2200 21St Ave S
Suite 401
Nashville, TN 37212-4942

Mailing address

2200 21St Avenue South
Suite 401
Nashville, TN 37212
Phone (615) 340-4686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 25, 2022 through Jan 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P1050TNMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Psychology Associates, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1548384407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 21ST AVENUE SOUTH",
            "address_2": "SUITE 401",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37212",
            "telephone_number": "615-340-4686",
            "fax_number": "615-750-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S",
            "address_2": "SUITE 401",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124942",
            "telephone_number": "615-340-4686",
            "fax_number": "615-750-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBLE",
        "first_name": "PAMELA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TN",
            "license": "P1050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.