Individual provider Active NPI

Larry Seeman, PHD

  • Clinical Psychologist
  • Smyrna, TN
National Provider Identifier
1750476354
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
592 Issued in TN
Practice address
617 Potomac PL Ste 401
Smyrna, TN 37167-5657
Phone
(615) 454-1231
NPI assigned
Oct 3, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 592 TN Primary

Addresses

Primary practice location

617 Potomac PL Ste 401
Smyrna, TN 37167-5657

Mailing address

1120 Lipscomb Dr
Nashville, TN 37204-4122
Phone (615) 848-3770

Other practice location 1

131 Mayfield Dr
Smyrna, TN 37167-3018
Phone (615) 459-9251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000426 TN Practitioner - Clinical Psychologist 8426159005 Practice locations: Smyrna, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

617 Potomac PL
Suite 401
Smyrna, TN 37167-5657
Phone (615) 454-1231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750476354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 LIPSCOMB DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372044122",
            "telephone_number": "615-848-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 POTOMAC PL STE 401",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675657",
            "telephone_number": "615-454-1231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 MAYFIELD DR",
            "address_purpose": "LOCATION",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673018",
            "country_code": "US",
            "telephone_number": "615-459-9251",
            "fax_number": "615-459-0791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEEMAN",
        "first_name": "LARRY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.