Individual provider Active NPI

Emily Corwin, PH.D

  • Clinical Child & Adolescent Psychologist
  • Knoxville, TN
National Provider Identifier
1861809592
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
3302 Issued in TN
Practice address
2100 Clinch Avenue Suite 220
Knoxville, TN 37916-2298
Phone
(865) 343-6976
Fax
(877) 554-2891
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3302 TN
Counseling Psychologist 103TC1900X 3302 TN
Clinical Child & Adolescent Psychologist 103TC2200X 3302 TN Primary
Psychologist 103T00000X 3302 TN

Addresses

Primary practice location

2100 Clinch Avenue Suite 220
Knoxville, TN 37916-2298

Mailing address

PO Box 15004
Knoxville, TN 37901-5004
Phone (865) 541-8895

Other practice location 1

2100 Clinch Avenue Suite 410
Knoxville, TN 37916
Phone (865) 343-6976

Other practice location 2

1025 Childrens Way
Knoxville, TN 37922-7713
Phone (865) 343-6976

Other practice location 3

502 Winfield Dunn Parkway
Sevierville, TN 37876-5509
Phone (865) 343-6976

Other identifiers 1

IdentifierTypeStateIssuer
Q025190MedicaidTN

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
3302TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems Past Accepting new patients
Cherokee Health Systems Past 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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1861809592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379015004",
            "telephone_number": "865-541-8895",
            "fax_number": "865-633-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVENUE SUITE 220",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162298",
            "telephone_number": "865-343-6976",
            "fax_number": "877-554-2891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Clinch Avenue Suite 410",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37916",
            "country_code": "US",
            "telephone_number": "865-343-6976",
            "fax_number": "877-554-2891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379227713",
            "country_code": "US",
            "telephone_number": "865-343-6976",
            "fax_number": "877-554-2891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 Winfield Dunn Parkway",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378765509",
            "country_code": "US",
            "telephone_number": "865-343-6976",
            "fax_number": "877-554-2891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORWIN",
        "first_name": "EMILY",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3302",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "3302",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TN",
            "license": "3302",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025190",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.