Individual provider Active NPI

George Livingston, PH.D.

  • Psychologist
  • Nashville, TN
National Provider Identifier
1821143116
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P1148 Issued in TN
Practice address
810 Dominican Dr
Suite 211
Nashville, TN 37228-1906
Phone
(615) 320-0321
Fax
(615) 444-3157
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P1148 TN Primary

Addresses

Primary practice location

810 Dominican Dr
Suite 211
Nashville, TN 37228-1906

Mailing address

810 Dominican Dr
Suite 211
Nashville, TN 37228-1906
Phone (615) 320-0321

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628000132 TN Practitioner - Clinical Psychologist 9133164353 Practice locations: Lebanon, TN; Nashville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of South Carolina School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

810 Dominican Dr
Suite 211
Nashville, TN 37228-1906
Phone (615) 320-0321

932 E Baddour Pkwy
Lebanon, TN 37087-3707
Phone (615) 449-5170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P1148TNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1821143116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 DOMINICAN DR",
            "address_2": "SUITE 211",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281906",
            "telephone_number": "615-320-0321",
            "fax_number": "615-444-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 DOMINICAN DR",
            "address_2": "SUITE 211",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281906",
            "telephone_number": "615-320-0321",
            "fax_number": "615-444-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "GEORGE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P1148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.