Kevin Richard Myers, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P3512 Issued in TN

Practice address

815 W 5TH North St
Morristown, TN 37814-3810

Phone

(423) 586-5032

Fax

(423) 581-8473

NPI assigned

Jun 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1720517485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY DEPT 100",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W 5TH NORTH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143810",
            "telephone_number": "423-586-5032",
            "fax_number": "423-581-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KEVIN",
        "middle_name": "RICHARD",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P3512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Muscari
• Paul Vincent Muscari, D.D.S.
• Laney Celeste Musick
• Wanda D Myers Moyers
• Christy Myers, LPN
• Rachel Elizabeth Myers, PA-C
• Whitney Lashay Myers, RD
• Muhammad Raza Naqvi, M.D
• Jessica Nekuri, NP
• Suresh Kumar Nekuri, MD

• Clinical Psychologist in Morristown, TN
• Providers in Morristown, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.