Psychiatric Services of East Tennessee

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PSYCHIATRIC SERVICES OF EAST TENNESSEE

Practice address

123 E Washington Ave
Athens, TN 37303

Phone

(423) 507-8826

Fax

(423) 507-8791

NPI assigned

Dec 22, 2006

Last updated

Jan 2, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

RESTORATION COUNSELINGAs reported in NPPES

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

Authorized official

Name

James Robert Stubblefield

Title

Coo

Phone

(865) 722-2761

Specialties & licenses 6

Addresses

Other identifiers 2

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agnes Ebedi

  • Mental Health Counselor
  • Athens, TN
  • NPI 1881185916
  NPD (past)
• Brenda Hartgrove, LCSW

  • Counselor
  • Cleveland, TN
  • NPI 1407947971
  NPD (past)
• Veliska Joy Thomas, LCSW

  • Clinical Social Worker
  • Athens, TN
  • NPI 1194925404
  NPD (past)
• Sheila Carnes Wilson, LCSW

  • Clinical Social Worker
  • Athens, TN
  • NPI 1821122359
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1871658757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "37371",
            "telephone_number": "423-507-8826",
            "fax_number": "423-507-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E WASHINGTON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "37303",
            "telephone_number": "423-507-8826",
            "fax_number": "423-507-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SERVICES OF EAST TENNESSEE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORATION COUNSELING",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "865-722-2761"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241084823",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4084775",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Presley, MA
• Tracy L Price, D.C.
• Adam Priestwood
• Molly Pritchett, FNP-BC
• PRN Health Services, PC
• Susan Pursell, CCC-SLP
• Steven Mathew Ratcliff, M.D.
• Joseph L Ratledge
• Hari Mahefa Ratsimbason, M.D.
• Julie Ann Raulie, LPC-MHSP

• Substance Abuse Rehabilitation Facility in Athens, TN
• Providers in Athens, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.