Active NPI
Bea David Puncochar, PH.D.
- Clinical Psychologist
- Brentwood, TN
National Provider Identifier
1740439017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3097
- Practice address
- 214 Centerview Dr
Suite 290
Brentwood, TN 37027-5274 - Phone
- (615) 370-4977
- Fax
- (615) 370-9412
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3097 | TN | Primary |
Addresses
Primary practice location
214 Centerview Dr
Suite 290
Brentwood, TN 37027-5274
Mailing address
214 Centerview Dr
Suite 290
Brentwood, TN 37027-5274
Phone (615) 370-4977
Other names 1
- Dr. Bieke David Puncochar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3097 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1740439017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 CENTERVIEW DR",
"address_2": "SUITE 290",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275274",
"telephone_number": "615-370-4977",
"fax_number": "615-370-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 CENTERVIEW DR",
"address_2": "SUITE 290",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275274",
"telephone_number": "615-370-4977",
"fax_number": "615-370-9412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNCOCHAR",
"first_name": "BEA",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "3097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BIEKE",
"last_name": "PUNCOCHAR",
"middle_name": "DAVID",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.