Active NPI
John W Thurman, PH.D
- Clinical Psychologist
- Elizabethton, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P0000002598
- Practice address
- 1633 Hillview Dr
Elizabethton, TN 37643-4115 - Phone
- (423) 282-1480
- Fax
- (423) 928-1353
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Bristol, TN
- NPI 1104277656
TN
-
- Rural Health Clinic/Center
- Brownsville, TN
- NPI 1386488922
-
- Rural Health Clinic/Center
- Alamo, TN
- NPI 1568200806
-
- Clinical Neuropsychologist
- Johnson City, TN
- NPI 1174727309
-
- Clinical Social Worker
- Morristown, TN
- NPI 1235273673
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BH Services Southeast 1 PCIpc Pac Healthcare Services of Tennessee PCNV Pacs 2 LLC
Practice addresses (Care Compare)
18 N Cavalier Dr
Alamo, TN 38001-6468
Phone (731) 696-4500
2012 Sherwood Dr
Johnson City, TN 37601-3238
Phone (423) 928-3168
505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.72 of 100
- Quality
- 72.97
- Improvement activities
- 40
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060313000510 | TN | Practitioner - Clinical Psychologist | 3072520246 |
Reassigns benefits to 5 organizations Practice locations: Elizabethton, TN; Johnson City, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0000002598 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Pac Healthcare Services of Tennessee PC | Current | Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| BH Services Southeast 1 PC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Wayne E Tasker | Past | Accepting new patients | |
| Wayne E. Tasker and Associates, Inc. | Clinical | Past | Accepting new patients |
| Neurobehavioral Associates | Past | 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
1200 Spruce Ln
Elizabethton, TN 37643
Phone (423) 543-3202
1633 Hillview Dr
Elizabethton, TN 37643
Phone (423) 543-2571
1666 Hillview Dr
Elizabethton, TN 37643
Phone (423) 542-5061
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
2421 N John B Dennis Hwy
Kingsport, TN 37660
Phone (423) 288-3988
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P0000002598 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1633 Hillview Dr
Elizabethton, TN 37643-4115
Mailing address
2 Redbush CT
Suite 2
Johnson City, TN 37601-4340
Phone (423) 283-4958
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3983164 | Medicaid | TN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2016.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1790705341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 REDBUSH CT",
"address_2": "SUITE 2",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014340",
"telephone_number": "423-283-4958",
"fax_number": "423-283-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 HILLVIEW DR",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376434115",
"telephone_number": "423-282-1480",
"fax_number": "423-928-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURMAN",
"first_name": "JOHN",
"middle_name": "W",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P0000002598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3983164",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.