Russell Scott Beebe, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

TNP1995 Issued in TN

Practice address

2034 Exeter Rd
Suite 4
Germantown, TN 38138-3944

Phone

(901) 301-8149

Fax

(901) 753-3394

NPI assigned

Nov 13, 2009

Last updated

Nov 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1790012623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 EXETER RD",
            "address_2": "SUITE 4",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383944",
            "telephone_number": "901-301-8149",
            "fax_number": "901-753-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 EXETER RD",
            "address_2": "SUITE 4",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383944",
            "telephone_number": "901-301-8149",
            "fax_number": "901-753-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEBE",
        "first_name": "RUSSELL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "TNP1995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terinell Beaver, MD
• Neal S Beckford, M.D.
• Cynthia Denise Bedford, ACNP
• Karyn Bednarek
• Amy B Beebe, PH.D.
• Ernest Schorr Behnke, M.D.
• Emily Jane Bell, M.S., CCC-SUP
• Bellano Dental Wolf River, PLLC (Bellano Dental Germantown)
• Bellott & Parrish Dentistry (Audubon Dental Group)
• Charles Daniel Bellott, D.D.S

• Psychologist in Germantown, TN
• Providers in Germantown, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.