Active NPI
Gary B Verna, PH.D.
- Clinical Psychologist
- La Follette, TN
National Provider Identifier
1619954781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P0000001449
- Practice address
- 300 W Beech St
RM 1
La Follette, TN 37766-3516 - Phone
- (865) 712-0234
- Fax
- (423) 562-6106
- NPI assigned
- Dec 29, 2005
- Last updated
- Dec 15, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P0000001449 | TN | Primary |
Addresses
Primary practice location
300 W Beech St
RM 1
La Follette, TN 37766-3516
Mailing address
PO Box 4818
Oak Ridge, TN 37831-4818
Phone (865) 712-0234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0000001449 | TN | MD | Clinical Psychologist |
| 1449 | TN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Services Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387065600000",
"number": "1619954781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4818",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378314818",
"telephone_number": "865-712-0234",
"fax_number": "423-562-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W BEECH ST",
"address_2": "RM 1",
"city": "LA FOLLETTE",
"state": "TN",
"postal_code": "377663516",
"telephone_number": "865-712-0234",
"fax_number": "423-562-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNA",
"first_name": "GARY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2013-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P0000001449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Follette, TN
- University Health System, Inc (UT Family Physicians LaFollette)
- University Health System, Inc (U.T. Internal Medicine of LaFollette)
- University Health System, Inc (Pediatric Consultants Lafollette)
- Amy Elizabeth Vann, LPC
- Debra Verna, APN
- George O'Neal Vinsant, M.D.
- Visavis Health Care Medical Group of TN PLLC
- Vital Care Medical Transportation (Vital Care Medical Transportation LLC)
- Walgreen Co (Walgreens #06738)
- William J Walters, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.