Organization Active NPI

Greeneville Evaluation Service

  • Clinical Psychologist
  • Greeneville, TN
National Provider Identifier
1801212741
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11758 Issued in TN
Legal business name
GREENEVILLE EVALUATION SERVICE
Practice address
816 Tusculum Blvd Ste 3
Greeneville, TN 37745-4092
Phone
(423) 747-9254
Fax
(423) 388-4180
NPI assigned
Mar 17, 2014
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Anna Palmer, LSPENPI 1134244536
Title
Senior Psychological Examiner
Phone
(423) 747-9254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 11758 TN Primary

Addresses

Primary practice location

816 Tusculum Blvd Ste 3
Greeneville, TN 37745-4092

Mailing address

PO Box 242
Afton, TN 37616-0242
Phone (423) 747-9254

National Provider Directory

National Provider Directory

Locations

816 Tusculum Blvd
Ste 3
Greeneville, TN 37745
Phone (423) 747-9254

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1801212741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242",
            "city": "AFTON",
            "state": "TN",
            "postal_code": "376160242",
            "telephone_number": "423-747-9254",
            "fax_number": "423-388-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 TUSCULUM BLVD STE 3",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454092",
            "telephone_number": "423-747-9254",
            "fax_number": "423-388-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENEVILLE EVALUATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "SENIOR PSYCHOLOGICAL EXAMINER",
        "authorized_official_telephone_number": "423-747-9254",
        "authorized_official_credential": "LSPE"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "11758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.