Organization Active NPI

LPB Group, Inc

  • Psychologist
  • Murfreesboro, TN
National Provider Identifier
1679714687
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P2794 Issued in TN
Legal business name
LPB GROUP, INC
Practice address
209 Castlewood Dr Ste D
Murfreesboro, TN 37129-5163
Phone
(615) 962-7237
NPI assigned
Mar 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Dr. Louisa Porter Branscomb, PH D
Title
Owner, Ceo
Phone
(615) 962-7237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X P2794 TN Primary

Addresses

Primary practice location

209 Castlewood Dr Ste D
Murfreesboro, TN 37129-5163

Mailing address

209 Castlewood Dr Ste D
Murfreesboro, TN 37129-5163
Phone (615) 962-7237

Other identifiers 1

IdentifierTypeStateIssuer
000979162FMedicaidGA

National Provider Directory

National Provider Directory

Locations

209 Castlewood Dr
Ste D
Murfreesboro, TN 37129
Phone (615) 278-8469

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1679714687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CASTLEWOOD DR STE D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295163",
            "telephone_number": "615-962-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CASTLEWOOD DR STE D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295163",
            "telephone_number": "615-962-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPB GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "BRANSCOMB",
        "authorized_official_first_name": "LOUISA",
        "authorized_official_middle_name": "PORTER",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "615-962-7237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P2794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000979162F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.