Individual provider Active NPI

Rebecca L West, PH.D.

  • Clinical Psychologist
  • Memphis, TN
National Provider Identifier
1760728604
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3036 Issued in TN
Practice address
2552 Poplar Ave
Suite 500
Memphis, TN 38112-3852
Phone
(901) 359-9499
NPI assigned
Dec 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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 3036 TN Primary

Addresses

Primary practice location

2552 Poplar Ave
Suite 500
Memphis, TN 38112-3852

Mailing address

2552 Poplar Ave
Suite 500
Memphis, TN 38112-3852
Phone (901) 359-9499

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
I20150721002091 TN Practitioner - Clinical Psychologist 4880907740 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5050 Poplar Ave
Suite 1101
Memphis, TN 38157-1101
Phone (901) 359-9499

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Oct 1, 2016 Accepting new patients
Southeastern Physician Services PC CurrentSince Oct 1, 2016 Accepting new patients
BH Services Southeast 1 PC CurrentSince Mar 1, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 31, 2021 Accepting new patients
West Psychological Services, PLLC CurrentSince May 11, 2015 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients

Locations

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

119 Boone Ridge Dr
Ste 201
Johnson City, TN 37615
Phone (423) 928-1145

2552 Poplar Ave
Ste 500
Memphis, TN 38112
Phone (901) 359-9499

5050 Poplar Ave
Ste 1101
Memphis, TN 38157
Phone (901) 359-9499

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1760728604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 POPLAR AVE",
            "address_2": "SUITE 500",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123852",
            "telephone_number": "901-359-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 POPLAR AVE",
            "address_2": "SUITE 500",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123852",
            "telephone_number": "901-359-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.