Organization Active NPI

Comprehensive Behavioral Health

  • Nursing Care Agency
  • Jackson, TN
National Provider Identifier
1871797704
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
RN0000108574 Issued in TN
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

Updated by the provider on May 8, 2008

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)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X RN0000108574 TN Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
39014561MedicaidTN
3901456MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.