Organization Active NPI

Skupa Therapy LLC

  • Community/Behavioral Health Agency
  • Nashville, TN
National Provider Identifier
1558038315
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SKUPA THERAPY LLC
Practice address
4205 Hillsboro Pike Ste 312
Nashville, TN 37215-3339
Phone
(615) 496-6040
NPI assigned
Aug 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Irena StjepicNPI 1235310210
Title
Owner
Phone
(615) 496-6040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4205 Hillsboro Pike Ste 312
Nashville, TN 37215-3339

Mailing address

8173 Coley Davis Rd
Nashville, TN 37221-2313
Phone (615) 496-6040

Other practice location 1

8173 Coley Davis Rd
Nashville, TN 37221-2313
Phone (615) 496-6040

Other identifiers 1

IdentifierTypeStateIssuer
1235310210OtherTNNPI

Other names 1

  • Skupa Therapy LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Irena@skupatherapy.com

National Provider Directory

National Provider Directory

Locations

4205 Hillsboro Pike
Ste 312
Nashville, TN 37215
Phone (615) 496-6040

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": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1558038315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8173 COLEY DAVIS RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212313",
            "telephone_number": "615-496-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 HILLSBORO PIKE STE 312",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153339",
            "telephone_number": "615-496-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8173 Coley Davis Rd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372212313",
            "country_code": "US",
            "telephone_number": "615-496-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKUPA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "STJEPIC",
        "authorized_official_first_name": "IRENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-496-6040"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235310210",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Irena@skupatherapy.com",
            "affiliation": "N",
            "address_1": "8173 Coley Davis Rd",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372212313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Skupa Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 2021; 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.