NPIMap

Organization Active NPI

Southern Psychiatric Services

  • Geriatric Psychiatry Physician
  • Oneida, TN
National Provider Identifier
1730504754
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
33975 Issued in TN
Legal business name
SOUTHERN PSYCHIATRIC SERVICES
Practice address
216 North Cross Street
Oneida, TN 37841
Phone
(423) 663-7350
NPI assigned
Feb 27, 2014
Last updated
Jun 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Cynthia L. Daniel, PA-C
Title
Physician Assistant
Phone
(423) 663-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 33975 TN Primary

Addresses

Primary practice location

216 North Cross Street
Oneida, TN 37841

Mailing address

PO Box 5595
Oneida, TN 37841-1195

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1730504754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5595",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378411195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NORTH CROSS STREET",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "37841",
            "telephone_number": "423-663-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "423-663-7350",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TN",
            "license": "33975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.