Active NPI
Katherine J Gorman, PHD
- Psychologist
- Springfield, TN
National Provider Identifier
1841389145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P0000002446
- Practice address
- 6159 Hoods Branch Rd
Springfield, TN 37172-5918 - Phone
- (615) 934-1488
- Fax
- (931) 647-9870
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | P0000002446 | TN | Primary |
Addresses
Primary practice location
6159 Hoods Branch Rd
Springfield, TN 37172-5918
Mailing address
6159 Hoods Branch Rd
Springfield, TN 37172-5918
Phone (615) 934-1488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3983100 | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111229000606 | TN | Practitioner - Clinical Psychologist | 8921274689 | Practice locations: Springfield, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Springfield, TN 37172
Phone (615) 934-1488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0000002446 | TN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1841389145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6159 HOODS BRANCH RD",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371725918",
"telephone_number": "615-934-1488",
"fax_number": "931-647-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6159 HOODS BRANCH RD",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371725918",
"telephone_number": "615-934-1488",
"fax_number": "931-647-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "KATHERINE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2021-07-02",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "P0000002446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3983100",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.