Individual provider Active NPI

Geraldine Bishop, PHD

  • Clinical Psychologist
  • Cordova, TN
National Provider Identifier
1851583447
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P452 Issued in TN
Practice address
1540 Appling Care LN
Suite 100
Cordova, TN 38016-4957
Phone
(901) 388-1893
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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 P452 TN Primary

Addresses

Primary practice location

1540 Appling Care LN
Suite 100
Cordova, TN 38016-4957

Mailing address

1540 Appling Care Lane
Suite 100
Cordova, TN 38016
Phone (901) 388-1893

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
P452TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyatt L. Nichols, PH.D., PC Clinical Past Accepting new patients
Geraldine Bishop PHD PC Inc Clinical PastSince Sep 1, 2005 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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1851583447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 APPLING CARE LANE",
            "address_2": "SUITE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38016",
            "telephone_number": "901-388-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 APPLING CARE LN",
            "address_2": "SUITE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164957",
            "telephone_number": "901-388-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "GERALDINE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.