NPIMap

Organization Active NPI

Knoxville Center for Behavioral Medicine LLC

  • Psychiatric Hospital
  • Knoxville, TN
National Provider Identifier
1710640776
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
KNOXVILLE CENTER FOR BEHAVIORAL MEDICINE LLC
Practice address
1240 Tennova Medical Way
Knoxville, TN 37909-3120
Phone
(615) 890-2020
NPI assigned
Oct 18, 2021
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NHC-OP LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Howard Jay Nason Jr.
Title
Trustee
Phone
(423) 827-6092

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary
Pharmacy 333600000X

Addresses

Primary practice location

1240 Tennova Medical Way
Knoxville, TN 37909-3120

Mailing address

PO Box 1398
Murfreesboro, TN 37133-1398
Phone (615) 890-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220218001822 TN Part A Provider - Hospital 0244624195 Practice locations: Knoxville, TN
O20230608000113 TN Part B Supplier - Clinic/Group Practice 0244624195 Receives reassigned benefits from 44 practitioners
Practice locations: Knoxville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710640776. Details of each certification follow.

Hospital certification: CCN 444031

Legal name
KNOXVILLE CENTER FOR BEHAVIORAL MEDICINE LLC
Doing business as
KNOXVILLE CENTER FOR BEHAVIORAL MEDICINE
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Sep 6, 2022
Last certification
Sep 6, 2022
Beds
64
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Nov 5, 2019 in DE
Enrollment address
1240 Tennova Medical Way
Knoxville, TN 37909-3120
Main/Primary Hospital Location
Hospital subgroups
Psychiatric unit

Care Compare: Hospital

Medicare Care Compare
Listed as
Knoxville Center for Behavioral MedicineCCN 444031 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2256696Knoxville Center for Behavioral Medicine LLC1240 Tennova Medical Way, Knoxville, TN 37909Certificate of waiverMar 27, 2028

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Howard Nason Jr. Individual Corporate DirectorBoard Member/Trustee Mar 1, 2022
Operational/Managerial Control Mar 1, 2022
Bryan Webb Individual W-2 Managing Employee Nov 15, 2022
University Health System, Inc. Organization, Knoxville, TN Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2022 20%
Knoxville Hma Holdings, LLC Organization, Powell, TN For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2022 15%
NHC-Op LP Organization, Murfreesboro, TN For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2022 65%
National Healthcare Corporation Organization, Murfreesboro, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022

Owners & managing parties with NPI records 19

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 19

Facilities with the same owner 107

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 107

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1710640776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1398",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371331398",
            "telephone_number": "615-890-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 TENNOVA MEDICAL WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093120",
            "telephone_number": "615-890-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE CENTER FOR BEHAVIORAL MEDICINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NHC-OP LP",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "NASON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "423-827-6092",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.