Active NPI
Michael Cannon Loftin, PH.D.
- Clinical Psychologist
- Brentwood, TN
National Provider Identifier
1831130384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P0000002412
- Practice address
- 750 Old Hickory Blvd
BLDG #2, Suite 150
Brentwood, TN 37027-4528 - Phone
- (615) 371-6188
- Fax
- (615) 595-2865
- NPI assigned
- Jun 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P0000002412 | TN | Primary |
Addresses
Primary practice location
750 Old Hickory Blvd
BLDG #2, Suite 150
Brentwood, TN 37027-4528
Mailing address
1230 Limerick LN
Franklin, TN 37067-8514
Phone (615) 371-6188
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3585304 | Medicaid | TN | |
| 4047159 | Other | TN | BCBS OF TENNESSEE |
| 4133923 | Other | TN | BLUE CROSS BLUE SHIELD TN |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0000002412 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. John E. Sawyer III | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831130384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 LIMERICK LN",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370678514",
"telephone_number": "615-371-6188",
"fax_number": "615-595-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 OLD HICKORY BLVD",
"address_2": "BLDG #2, SUITE 150",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274528",
"telephone_number": "615-371-6188",
"fax_number": "615-595-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFTIN",
"first_name": "MICHAEL",
"middle_name": "CANNON",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P0000002412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3585304",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TENNESSEE",
"identifier": "4047159",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "4133923",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.