Organization Active NPI

Peak Behavioral Strategies

  • Community/Behavioral Health Agency
  • Tullahoma, TN
National Provider Identifier
1649667387
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11417342 Issued in TN
Legal business name
PEAK BEHAVIORAL STRATEGIES
Practice address
107 Hermitage Dr
Tullahoma, TN 37388-6201
Phone
(931) 581-7397
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Kirby Ellen Fitzgerald, M.A., BCBA
Title
Owner, Behavior Analyst
Phone
(931) 581-7397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 11417342 TN Primary

Addresses

Primary practice location

107 Hermitage Dr
Tullahoma, TN 37388-6201

Mailing address

107 Hermitage Dr
Tullahoma, TN 37388-6201

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1649667387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HERMITAGE DR",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373886201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HERMITAGE DR",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373886201",
            "telephone_number": "931-581-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK BEHAVIORAL STRATEGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER, BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "931-581-7397",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "11417342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.