Organization Active NPI

Allied Health Professionals

  • Clinical Psychologist
  • Lebanon, TX
National Provider Identifier
1881196376
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ALLIED HEALTH PROFESSIONALS
Practice address
3056 Horn Springs Road
Lebanon, TX 37087-1953
Phone
(615) 552-3234
Fax
(615) 449-3590
NPI assigned
Mar 1, 2018
Last updated
Mar 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Authorized official

Name
James Lewis Proffitt II
Title
President
Phone
(615) 552-3234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

3056 Horn Springs Road
Lebanon, TX 37087-1953

Mailing address

3056 Horn Springs Road
Lebanon, TX 37087-1953
Phone (615) 552-3234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1881196376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 HORN SPRINGS ROAD",
            "city": "LEBANON",
            "state": "TX",
            "postal_code": "370871953",
            "telephone_number": "615-552-3234",
            "fax_number": "615-449-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 HORN SPRINGS ROAD",
            "city": "LEBANON",
            "state": "TX",
            "postal_code": "370871953",
            "telephone_number": "615-552-3234",
            "fax_number": "615-449-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED HEALTH PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-552-3234",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.