Team Autism Memphis

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

TEAM AUTISM MEMPHIS

Practice address

1102 Brookfield Rd Ste 102
Memphis, TN 38119-3826

Phone

(901) 337-7524

NPI assigned

May 15, 2016

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi Ann HosickNPI 1477861649

Title

Owner

Phone

(901) 337-7524

Specialties & licenses 1

Addresses

Locations

Practitioners 6

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.

• Heidi Ann Hosick, MS CCC-A/SLP

  • Speech-Language Pathologist
  • Germantown, TN
  • NPI 1477861649
  NPD Authorized official
• Laura Ball, COTA/L

  • Occupational Therapy Assistant
  • Germantown, TN
  • NPI 1457075327
  NPD (past)
• Marwyn Garibay Benemerito, OTR/L

  • Occupational Therapist
  • Cordova, TN
  • NPI 1295834752
  NPD (past)
• Rebecca Anne Coggin, OTR/L

  • Occupational Therapist
  • Memphis, TN
  • NPI 1538051073
  NPD (past)
• Kimberly Ruth Moseley, B.A.

  • Speech-Language Pathologist
  • Germantown, TN
  • NPI 1417572157
  NPD (past)
• Jennifer Stachowski

  • Occupational Therapist
  • Bartlett, TN
  • NPI 1235541293
  NPD (past)

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

{
    "created_epoch": "1463270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1609223163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 BROOKFIELD RD STE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193826",
            "telephone_number": "901-337-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 BROOKFIELD RD STE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193826",
            "telephone_number": "901-337-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM AUTISM MEMPHIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-15",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "HOSICK",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-337-7524"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Renee Taylor, R.N.
• Taylor's Care Home Inc
• TCB Health & Wellness
• Rosette Bike Tchamda, PMHNP
• Guy V Teach, MD
• Team Johnson LLC
• Team Memphis Orthodontics
• Team Mobile Health Care
• Krista G Tebbe, CRNA
• Techfit

• Developmental Disabilities Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Developmental Disabilities Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.