Fishield Behavioral Medical SVCS, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

MD0000048598 Issued in TN

Legal business name

FISHIELD BEHAVIORAL MEDICAL SVCS, INC.

Doing business as

Fishield Corp.

Practice address

325 Plus Park Blvd
101
Nashville, TN 37217-1022

Phone

(615) 366-9445

Fax

(615) 732-0856

NPI assigned

Oct 23, 2013

Organization subpart

Yes

Parent organization

FISHIELD CORP.As reported in NPPES

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

Authorized official

Name

Miss Roberta O Fisher

Title

Asst. Adm

Phone

(615) 366-9445

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Fishield Corp. Doing business as

Part of

Fishield Behavioral Medical

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Fishield Corporation

  • Mental Illness Community Based Residential Treatment Facility
  • Nashville, TN
  • NPI 1902142201
  NPPES parent name

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1740618024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 PLUS PARK BLVD",
            "address_2": "101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372171022",
            "telephone_number": "615-366-9445",
            "fax_number": "615-732-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PLUS PARK BLVD",
            "address_2": "101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372171022",
            "telephone_number": "615-366-9445",
            "fax_number": "615-732-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHIELD BEHAVIORAL MEDICAL SVCS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FISHIELD CORP.",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ASST. ADM",
        "authorized_official_telephone_number": "615-366-9445",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TN",
            "license": "MD0000048598",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TN",
            "license": "L000000013307",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TN",
            "license": "1000000013308",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD0000013877",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528970",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fishield Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prescott Fisher III, RPH
• Reagan Atkins Fisher
• Samantha Fisher, PA
• Sarah Fisher, TLMFT
• Tammy Renae Fisher, RDH
• Fishield Corporation
• Danielle Joan Fishman
• Christina Taulien Fiske, MD
• Hannah Fiske
• William Haley Fiske, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Nashville, TN
• Providers in Nashville, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

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

Verify at the official NPI Registry.