NPIMap

Organization Active NPI

Harwood Center

  • Early Intervention Provider Agency
  • Memphis, TN
National Provider Identifier
1689007379
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
L000000012263 Issued in TN
Legal business name
HARWOOD CENTER
Practice address
711 Jefferson Ave
Memphis, TN 38105-5003
Phone
(901) 448-6580
Fax
(901) 448-4734
NPI assigned
Aug 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Amy L Bohannan, BCBA
Title
Behavioral Services Director
Phone
(901) 448-2067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X L000000012263 TN Primary

Addresses

Primary practice location

711 Jefferson Ave
Memphis, TN 38105-5003

Mailing address

711 Jefferson Ave
Memphis, TN 38105-5003
Phone (901) 448-6580

National Provider Directory

National Provider Directory

Locations

4075 Park Ave
Memphis, TN 38111
Phone (901) 584-8281

Practitioners & affiliated clinicians

Practitioners 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1689007379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381055003",
            "telephone_number": "901-448-6580",
            "fax_number": "901-448-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381055003",
            "telephone_number": "901-448-6580",
            "fax_number": "901-448-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARWOOD CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "BOHANNAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BEHAVIORAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "901-448-2067",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "TN",
            "license": "L000000012263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.