NPIMap

Organization Active NPI

Center for Family Psychiatry PC

  • Psychiatry Physician
  • Knoxville, TN
National Provider Identifier
1679758312
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CENTER FOR FAMILY PSYCHIATRY PC
Practice address
10241 Kingston Pike
Suite 1 and 2
Knoxville, TN 37922-3240
Phone
(865) 691-1165
Fax
(865) 690-6042
NPI assigned
Dec 31, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Dr. John B Robertson Jr., MDNPI 1407840481
Title
MD President
Phone
(865) 691-1165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10241 Kingston Pike
Suite 1 and 2
Knoxville, TN 37922-3240

Mailing address

10241 Kingston Pike
Suite 1 and 2
Knoxville, TN 37922-3240
Phone (865) 691-1165

Other identifiers 1

IdentifierTypeStateIssuer
3722309OtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

10241 Kingston Pike
Ste 1
Knoxville, TN 37922
Phone (865) 691-1165

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1679758312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10241 KINGSTON PIKE",
            "address_2": "SUITE 1 AND 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223240",
            "telephone_number": "865-691-1165",
            "fax_number": "865-690-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10241 KINGSTON PIKE",
            "address_2": "SUITE 1 AND 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223240",
            "telephone_number": "865-691-1165",
            "fax_number": "865-690-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FAMILY PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "865-691-1165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3722309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.