Individual provider Active NPI

Amy Mariaskin, PH.D.

  • Clinical Psychologist
  • Brentwood, TN
National Provider Identifier
1861799322
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2979 Issued in TN
Practice address
155 Franklin Rd Ste 135
Brentwood, TN 37027-4646
Phone
(615) 939-3752
NPI assigned
Feb 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 2979 TN Primary

Addresses

Primary practice location

155 Franklin Rd Ste 135
Brentwood, TN 37027-4646

Mailing address

155 Franklin Rd Ste 135
Brentwood, TN 37027-4646
Phone (615) 939-3752

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

LicenseStateTypeSpecialty
2979TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Ocd & Anxiety Treatment Center Clinical CurrentSince Mar 26, 2023 Accepting new patients

Locations

155 Franklin Rd
Ste 135
Brentwood, TN 37027
Phone (615) 412-1155

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.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1861799322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 FRANKLIN RD STE 135",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274646",
            "telephone_number": "615-939-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 FRANKLIN RD STE 135",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274646",
            "telephone_number": "615-939-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIASKIN",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2979",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 23, 2023; 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.