Tahere Pourmotabbed, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P0000002344 Issued in TN

Practice address

8110 Cordova Rd
Cordova, TN 38016-0520

Phone

(901) 757-0568

Fax

(901) 754-8247

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chamberlin Clinic, PA

  • Psychiatry Physician
  • Cordova, TN
  • NPI 1730374372
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649343765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 CORDOVA RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160520",
            "telephone_number": "901-757-0568",
            "fax_number": "901-754-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 CORDOVA RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160520",
            "telephone_number": "901-757-0568",
            "fax_number": "901-754-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURMOTABBED",
        "first_name": "TAHERE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000002344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4094352",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3387193",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Porch, FNP
• Ashley Nicole Porter
• Laurie Porter, FNP-C
• Shronda Mischelle Posey, LPN
• Rebekah Yates Pounders, PHARM D
• Jesse Powell Jr.
• Joel Powell, RPH
• Power of Words Therapy Services LLC
• Power Physical Therapy and Performance, PLLC
• Amy Power, LPC

• Clinical Psychologist in Cordova, TN
• Providers in Cordova, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.