Cookeville Psychiatric Solutions PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COOKEVILLE PSYCHIATRIC SOLUTIONS PLLC

Practice address

441 E Broad St Ste E
Cookeville, TN 38501-3390

Phone

(931) 510-8405

NPI assigned

Aug 24, 2023

Last updated

Jan 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

April EbersoleNPI 1447245956

Title

Owner

Phone

(931) 510-8405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

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.

• April Dawn Ebersole, ANP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cookeville, TN
  • NPI 1447245956
  Medicare reassignment Care Compare group NPD Authorized official
• Amy Lynne Rice, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cookeville, TN
  • NPI 1053961474
  Medicare reassignment Care Compare group NPD
• Wesley Stuart Kaney, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
  • NPI 1437252848
  Medicare reassignment NPD

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735689600000",
    "number": "1740064245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E BROAD ST STE E",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013390",
            "telephone_number": "931-510-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E BROAD ST STE E",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013390",
            "telephone_number": "931-510-8405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3106 Miller Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385556217",
            "country_code": "US",
            "telephone_number": "931-510-9231",
            "fax_number": "207-810-5946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COOKEVILLE PSYCHIATRIC SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A",
        "authorized_official_last_name": "EBERSOLE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-510-8405"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; 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.