Active NPI
Comprehensive Behavioral Health
- Nursing Care Agency
- Jackson, TN
National Provider Identifier
1871797704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- RN0000108574
- Legal business name
- COMPREHENSIVE BEHAVIORAL HEALTH
- Practice address
- 384D Carriage House Drive
Jackson, TN 38305-2268 - Phone
- (731) 256-2006
- Fax
- (731) 256-2007
- NPI assigned
- Jun 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian G Brown
- Title
- Owner
- Phone
- (731) 256-2006
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | RN0000108574 | TN | Primary |
| Nurse Practitioner | 363L00000X | RN0000108574 | TN |
Addresses
Primary practice location
384D Carriage House Drive
Jackson, TN 38305-2268
Mailing address
384D Carriage House Drive
Jackson, TN 38305-2268
Phone (731) 256-2006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39014561 | Medicaid | TN | |
| 3901456 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
384 Carriage House Dr
Ste D
Jackson, TN 38305
Phone (731) 225-7273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210204800000",
"number": "1871797704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384D CARRIAGE HOUSE DRIVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052268",
"telephone_number": "731-256-2006",
"fax_number": "731-256-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384D CARRIAGE HOUSE DRIVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052268",
"telephone_number": "731-256-2006",
"fax_number": "731-256-2007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-13",
"last_updated": "2008-05-08",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-256-2006"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "TN",
"license": "RN0000108574",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "RN0000108574",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39014561",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3901456",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.