Organization Active NPI

John C. House, PHD

  • Clinical Psychologist
  • Knoxville, TN
National Provider Identifier
1811148273
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P1522 Issued in TN
Legal business name
JOHN C. HOUSE, PHD
Practice address
135 Fox Rd
Suite E
Knoxville, TN 37922-3349
Phone
(865) 567-5648
Fax
(865) 531-3948
NPI assigned
Oct 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Dr. John C. House, PHDNPI 1407075609
Title
Persident
Phone
(865) 567-5648

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X P1522 TN Primary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X P1522 TN

Addresses

Primary practice location

135 Fox Rd
Suite E
Knoxville, TN 37922-3349

Mailing address

135 Fox Rd
Suite E
Knoxville, TN 37922-3349
Phone (865) 567-5648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081117000152 TN Part B Supplier - Clinic/Group Practice 0143262220 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

135 Fox Rd
Ste E
Knoxville, TN 37922
Phone (865) 405-2653

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1811148273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 FOX RD",
            "address_2": "SUITE E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223349",
            "telephone_number": "865-567-5648",
            "fax_number": "865-531-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 FOX RD",
            "address_2": "SUITE E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223349",
            "telephone_number": "865-567-5648",
            "fax_number": "865-531-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. HOUSE, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PERSIDENT",
        "authorized_official_telephone_number": "865-567-5648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1522",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "TN",
            "license": "P1522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.