Active NPI
Memphis Center for Women and Families
- Clinical Psychologist
- Memphis, TN
National Provider Identifier
1578894887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- MEMPHIS CENTER FOR WOMEN AND FAMILIES
- Practice address
- 5154 Stage Rd
Ste 102
Memphis, TN 38134-3118 - Phone
- (901) 372-9133
- Fax
- (901) 372-1015
- NPI assigned
- Jan 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Connie S Paul, PH.D.
- Title
- Owner
- Phone
- (901) 372-9133
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
5154 Stage Rd
Ste 102
Memphis, TN 38134-3118
Mailing address
5154 Stage Rd
Ste 102
Memphis, TN 38134-3118
Phone (901) 372-9133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
217 S Mill Ave
Dyersburg, TN 38024
Phone (901) 372-9133
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Memphis, TN
- NPI 1700971413
-
- Clinical Psychologist
- Memphis, TN
- NPI 1740578111
-
- Health Service Psychologist
- Memphis, TN
- NPI 1730205410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264464000000",
"number": "1578894887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5154 STAGE RD",
"address_2": "STE 102",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381343118",
"telephone_number": "901-372-9133",
"fax_number": "901-372-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5154 STAGE RD",
"address_2": "STE 102",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381343118",
"telephone_number": "901-372-9133",
"fax_number": "901-372-1015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMPHIS CENTER FOR WOMEN AND FAMILIES",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-26",
"last_updated": "2010-01-26",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-372-9133",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Memphis Cardiovascular Center
- Memphis Center for Independent Living
- Memphis Center for Mindful Living, LLC
- Memphis Center for Reproductive Health
- Memphis Center for Reproductive Health
- Memphis Children'S Clinic, PLLC
- Memphis Children'S Clinic, PLLC
- Memphis Children'S Surgery Center, LLC
- Memphis Chiropractic Group
- Memphis Clinical Laboratory Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.