Active NPI
Memphis Center for Women and Families
- Clinical Psychologist
- Memphis, TN
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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
5154 Stage Rd
Ste 102
Memphis, TN 38134
Phone (901) 372-9133
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Neuropsychologist
- Memphis, TN
- NPI 1700971413
-
- Clinical Psychologist
- Memphis, TN
- NPI 1740578111
-
- Health Service Psychologist
- Cordova, TN
- NPI 1730205410
-
- Health Service Psychologist
- Memphis, TN
- NPI 1285660621
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.