Benjamin James Biller, M.S. S.P.E.

Key facts

NPI

1861556482

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

PE0000011766 (TN)

Practice address

2292 Chambliss Ave NW
Suite C-2
Cleveland, TN 37311-3862

Phone

(423) 479-5672

Fax

(423) 479-5679

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Tom a. Biller Ed.D. P.C. Dba Health Management Services Clinical Psychologist · Cleveland, TN · NPI 1912047671
  Medicare reassignment Care Compare group NPD CLINICAL · TN

Medicare Care Compare profile

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tom a. Biller Ed.D. P.C. Dba Health Management Services (2 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TN

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 4, 2010.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1861556482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2965",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373202965",
            "telephone_number": "423-479-5672",
            "fax_number": "423-479-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 CHAMBLISS AVE NW",
            "address_2": "SUITE C-2",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113862",
            "telephone_number": "423-479-5672",
            "fax_number": "423-479-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLER",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.S. S.P.E.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "PE0000011766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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