Active NPI
Stephen C Mory, MD
- Psychiatry Physician
- Nashville, TN
National Provider Identifier
1821096538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 42866
- Practice address
- 402 22ND Ave N
Nashville, TN 37203-1949 - Phone
- (615) 251-8805
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD-018439E | PA | |
| Psychiatry Physician | 2084P0800X | C1-0007537 | DE | |
| Psychiatry Physician | 2084P0800X | 42866 | TN | Primary |
Addresses
Primary practice location
402 22ND Ave N
Nashville, TN 37203-1949
Mailing address
402 22ND Ave N
Nashville, TN 37203-1949
Phone (615) 251-8805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0007537 | DE | MD | Psychiatry Physician |
| MD-018439E | PA | MD | Psychiatry Physician |
| 42866 | TN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480118400000",
"number": "1821096538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 22ND AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031949",
"telephone_number": "615-251-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 22ND AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031949",
"telephone_number": "615-251-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORY",
"first_name": "STEPHEN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2016-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD-018439E",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DE",
"license": "C1-0007537",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "42866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.