NPIMap

Organization Active NPI

Madison Behavioral Health, LLC

Doing business as Madison Behavioral Health

  • Psychiatry Physician
  • Madison, TN
National Provider Identifier
1891741450
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MADISON BEHAVIORAL HEALTH, LLC
Doing business as
Madison Behavioral Health
Practice address
600 Medical Park Dr
Suite 204
Madison, TN 37115-4253
Phone
(615) 860-6500
NPI assigned
May 25, 2006
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
HTI HOSPITAL HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Mr. Chuck Locke
Title
VP
Phone
(615) 373-7604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

600 Medical Park Dr
Suite 204
Madison, TN 37115-4253

Mailing address

600 Medical Park Dr
Suite 204
Madison, TN 37115-4253
Phone (615) 860-6500

Other identifiers 1

IdentifierTypeStateIssuer
3734151MedicaidTN

Other names 1

  • MADISON BEHAVIORAL HEALTH Doing business as

National Provider Directory

National Provider Directory

Locations

500 Hospital Dr
Madison, TN 37115
Phone (615) 865-0300

600 Medical Park Dr
Ste 204
Madison, TN 37115
Phone (615) 860-6500

3443 Dickerson Pike
Ste 520
Nashville, TN 37207
Phone (615) 860-6500

Practitioners & affiliated clinicians

Practitioners 52

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 52

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1891741450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEDICAL PARK DR",
            "address_2": "SUITE 204",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154253",
            "telephone_number": "615-860-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEDICAL PARK DR",
            "address_2": "SUITE 204",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154253",
            "telephone_number": "615-860-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HTI HOSPITAL HOLDINGS, INC.",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3734151",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADISON BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.