Individual provider Active NPI

Patricia Caldwell Potter, PH.D.

  • Clinical Psychologist
  • Nashville, TN
National Provider Identifier
1851563696
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P0000002782 Issued in TN
Practice address
1720 W End Ave
Suite 240
Nashville, TN 37203-2612
Phone
(615) 320-1155
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P0000002782 TN Primary

Addresses

Primary practice location

1720 W End Ave
Suite 240
Nashville, TN 37203-2612

Mailing address

1720 W End Ave
Suite 240
Nashville, TN 37203-2612
Phone (615) 320-1155

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 Philosophy

State licenses

LicenseStateTypeSpecialty
P0000002782TNMDClinical Psychologist
2782TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Consulting and Psychological Services, PLLC Clinical PastSince Dec 1, 2012 Accepting new patients
Tennessee TMS Center, PLLC PastSince Jul 4, 2018 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1851563696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W END AVE",
            "address_2": "SUITE 240",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032612",
            "telephone_number": "615-320-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W END AVE",
            "address_2": "SUITE 240",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032612",
            "telephone_number": "615-320-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "PATRICIA",
        "middle_name": "CALDWELL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000002782",
            "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 Apr 1, 2008; 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.