NPIMap

Organization Active NPI

Psych Services LLC

  • Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1689640468
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PSYCH SERVICES LLC
Practice address
1614 Wellington GRN
Franklin, TN 37064-5359
Phone
(615) 794-1814
Fax
(615) 372-0471
NPI assigned
Feb 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Carol D Whitten, APNNPI 1073576104
Title
Owner
Phone
(615) 794-1814

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1614 Wellington GRN
Franklin, TN 37064-5359

Mailing address

PO Box 681345
Franklin, TN 37068-1345
Phone (615) 794-1814

Other identifiers 1

IdentifierTypeStateIssuer
3374681MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040228000356 TN Part B Supplier - Clinic/Group Practice 4587551163 Receives reassigned benefits from 4 practitioners
Practice locations: Franklin, TN

National Provider Directory

National Provider Directory

Locations

2871 Highway 31 W
White House, TN 37188
Phone (615) 452-2322

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1689640468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681345",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681345",
            "telephone_number": "615-794-1814",
            "fax_number": "615-372-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 WELLINGTON GRN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645359",
            "telephone_number": "615-794-1814",
            "fax_number": "615-372-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-794-1814",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374681",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.