R Jeff Slavin PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P0000000505 Issued in TN

Legal business name

R JEFF SLAVIN PHD PC

Practice address

530 E Broadway Ave
Maryville, TN 37804-5730

Phone

(865) 982-6370

Fax

(865) 983-1810

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Jeff Slavin, PHD

Title

Psychologist / President

Phone

(865) 982-6370

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811907041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045730",
            "telephone_number": "865-982-6370",
            "fax_number": "865-983-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045730",
            "telephone_number": "865-982-6370",
            "fax_number": "865-983-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R JEFF SLAVIN PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLAVIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JEFF",
        "authorized_official_title_or_position": "PSYCHOLOGIST / PRESIDENT",
        "authorized_official_telephone_number": "865-982-6370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000000505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3684524",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Pusser, M.A. CCC-SLP
• Doris Qualls, APRN-C
• Sharon Ann Queen
• John Walton Quillen, L.A.D.A.C.
• R Brent Harbin DPM PLLC
• Cheryl Lynn Racine, APN, FNP
• Radiant Pathway 2 Futures Outreach Organization
• Anthony Ragsdale, MD
• Jesse Alen Raines, RN
• Katherine Anne Ramos, PMHNP-BC

• Clinical Psychologist in Maryville, TN
• Providers in Maryville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.