Organization Active NPI

Smyrna Psychiatry LLC

  • Psychiatry Physician
  • Smyrna, TN
National Provider Identifier
1669016952
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SMYRNA PSYCHIATRY LLC
Practice address
713 President PL Ste a
Smyrna, TN 37167-5652
Phone
(615) 790-7992
Fax
(615) 790-8688
NPI assigned
Oct 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Lynn Harb
Title
Credentialing
Phone
(615) 790-7992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

713 President PL Ste a
Smyrna, TN 37167-5652

Mailing address

713 President PL Ste a
Smyrna, TN 37167-5652
Phone (615) 790-7992

National Provider Directory

National Provider Directory

Locations

713 President Pl
#A
Smyrna, TN 37167
Phone (615) 220-0056

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1669016952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 PRESIDENT PL STE A",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675652",
            "telephone_number": "615-790-7992",
            "fax_number": "615-790-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 PRESIDENT PL STE A",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675652",
            "telephone_number": "615-790-7992",
            "fax_number": "615-790-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMYRNA PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "HARB",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "615-790-7992"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.