NPIMap

Organization Active NPI

Vanderbilt Community Mental Health Center

  • Psychiatric Hospital
  • Nashville, TN
National Provider Identifier
1619040813
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
VANDERBILT COMMUNITY MENTAL HEALTH CENTER
Practice address
1601 23Rd Ave S
3Rd Floor
Nashville, TN 37212-3133
Phone
(615) 532-2052
NPI assigned
Nov 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Genorris Latrise Crawford-Clark, MA
Title
Mental Health Clinician
Phone
(615) 532-2052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

1601 23Rd Ave S
3Rd Floor
Nashville, TN 37212-3133

Mailing address

2408 14TH Ave N
Nashville, TN 37208-1164
Phone (615) 244-8066

National Provider Directory

National Provider Directory
Tax ID family
V U Dept of Radiology27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619040813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 14TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372081164",
            "telephone_number": "615-244-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 23RD AVE S",
            "address_2": "3RD FLOOR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123133",
            "telephone_number": "615-532-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD-CLARK",
        "authorized_official_first_name": "GENORRIS",
        "authorized_official_middle_name": "LATRISE",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "615-532-2052",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.