NPIMap

Organization Active NPI

Park Center

  • Adult Mental Health Clinic/Center
  • Nashville, TN
National Provider Identifier
1881736122
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PARK CENTER
Practice address
1935 21St Ave S
Nashville, TN 37212-3997
Phone
(615) 242-3576
Fax
(615) 242-3580
NPI assigned
Feb 13, 2007
Last updated
Oct 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Will Connelly
Title
President Ceo
Phone
(615) 242-3576

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

1935 21St Ave S
Nashville, TN 37212-3997

Mailing address

1935 21St Ave S
Nashville, TN 37212-3997
Phone (615) 242-3576

Other identifiers 1

IdentifierTypeStateIssuer
3729366MedicaidTN

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1881736122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123997",
            "telephone_number": "615-242-3576",
            "fax_number": "615-242-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123997",
            "telephone_number": "615-242-3576",
            "fax_number": "615-242-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "615-242-3576"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729366",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.