Organization Active NPI

Superior Residential Solutions, LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Arlington, TN
National Provider Identifier
1609351766
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
SUPERIOR RESIDENTIAL SOLUTIONS, LLC
Practice address
5225 Rocky Ford LN
Arlington, TN 38002-4833
Phone
(901) 581-4430
Fax
(901) 475-4530
NPI assigned
Sep 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Rose Kent Stemmons
Title
Ceo
Phone
(901) 581-4430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

5225 Rocky Ford LN
Arlington, TN 38002-4833

Mailing address

5225 Rocky Ford LN
Arlington, TN 38002-4833
Phone (901) 581-4430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1609351766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 ROCKY FORD LN",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024833",
            "telephone_number": "901-581-4430",
            "fax_number": "901-475-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 ROCKY FORD LN",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024833",
            "telephone_number": "901-581-4430",
            "fax_number": "901-475-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR RESIDENTIAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "STEMMONS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-581-4430"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.