Active NPI
Jenee Justice Tate, PSYD
- Clinical Psychologist
- Knoxville, TN
National Provider Identifier
1568248318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3922
- Practice address
- 200 Fort Sanders West Boulevard
Medical Office Building 1, Suite 107
Knoxville, TN 37922 - Phone
- (865) 531-9088
- NPI assigned
- Sep 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3922 | TN | Primary |
Addresses
Primary practice location
200 Fort Sanders West Boulevard
Medical Office Building 1, Suite 107
Knoxville, TN 37922
Mailing address
200 Fort Sanders West Blvd Ste 107
Knoxville, TN 37922-3373
Phone (865) 531-9088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 18, 2025 through Feb 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1568248318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 FORT SANDERS WEST BLVD STE 107",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223373",
"telephone_number": "865-531-9088",
"fax_number": "865-531-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FORT SANDERS WEST BOULEVARD",
"address_2": "MEDICAL OFFICE BUILDING 1, SUITE 107",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37922",
"telephone_number": "865-531-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE TATE",
"first_name": "JENEE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-07",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "3922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.