Stones River Psychiatric Group PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD0000025786 Issued in TN

Legal business name

STONES RIVER PSYCHIATRIC GROUP PC

Practice address

1024 N Highland Ave
Suite B
Murfreesboro, TN 37130-2443

Phone

(615) 893-8755

Fax

(615) 893-8732

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Shipra M Putatunda, MD

Title

Owner

Phone

(615) 893-8755

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1619903895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N HIGHLAND AVE",
            "address_2": "SUITE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302443",
            "telephone_number": "615-893-8755",
            "fax_number": "615-893-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N HIGHLAND AVE",
            "address_2": "SUITE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302443",
            "telephone_number": "615-893-8755",
            "fax_number": "615-893-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONES RIVER PSYCHIATRIC GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "PUTATUNDA",
        "authorized_official_first_name": "SHIPRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-893-8755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000025786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3065691",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088135",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stones River Pain & Joint
• Stones River Regional Independent Practice Association
• Stones River Rheumatology PLLC
• Stones River Surgical Group PLLC
• Maddison Brooke Storey
• Richard Malcolm Storie II, EDD, ACSM-EP

• Psychiatry Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.