Organization Active NPI

Treadway Clinic

  • Psychiatry Physician
  • Nashville, TN
National Provider Identifier
1730362468
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD6794 Issued in TN
Legal business name
TREADWAY CLINIC
Practice address
1516 16TH Ave S
Nashville, TN 37212-2906
Phone
(615) 383-7977
Fax
(615) 298-9606
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. C. Richard Franklin Treadway, M.D.
Title
Chairman and Ceo
Phone
(615) 383-7977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD6794 TN Primary

Addresses

Primary practice location

1516 16TH Ave S
Nashville, TN 37212-2906

Mailing address

1516 16TH Ave S
Nashville, TN 37212-2906
Phone (615) 383-7977

Other identifiers 1

IdentifierTypeStateIssuer
3716900MedicaidTN

National Provider Directory

National Provider Directory

Locations

1516 16th Ave S
Nashville, TN 37212
Phone (615) 383-7977

1516 16th Ave S
#100
Nashville, TN 37212
Phone (615) 383-7977

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1730362468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 16TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122906",
            "telephone_number": "615-383-7977",
            "fax_number": "615-298-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 16TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122906",
            "telephone_number": "615-383-7977",
            "fax_number": "615-298-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREADWAY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "TREADWAY",
        "authorized_official_first_name": "C. RICHARD",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "CHAIRMAN AND  CEO",
        "authorized_official_telephone_number": "615-383-7977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD6794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3716900",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.