Individual provider Active NPI

Patti Van Eys, PH.D.

  • Clinical Psychologist
  • Nashville, TN
National Provider Identifier
1558548305
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P1463 Issued in TN
Practice address
1500 21St Ave S Ste 1100
Nashville, TN 37212-3157
Phone
(615) 322-8701
Fax
(615) 322-7108
NPI assigned
Jan 23, 2008
Last updated
Jan 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P1463 TN Primary

Addresses

Primary practice location

1500 21St Ave S Ste 1100
Nashville, TN 37212-3157

Mailing address

3620 Hoods Hill Rd
Nashville, TN 37215-2023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P1463TNMDClinical Psychologist
1463TNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1558548305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 HOODS HILL RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 21ST AVE S STE 1100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123157",
            "telephone_number": "615-322-8701",
            "fax_number": "615-322-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN EYS",
        "first_name": "PATTI",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1463",
            "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 Jan 23, 2008; 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.