Individual provider Active NPI

Denise M Stillman, PHD

  • Clinical Psychologist
  • Knoxville, TN
National Provider Identifier
1902837297
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P1818 Issued in TN
Practice address
1128 E Weisgarber Rd
Suite 210
Knoxville, TN 37909-2674
Phone
(865) 264-2400
Fax
(865) 588-6406
NPI assigned
Jul 5, 2006
Last updated
Jun 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P1818 TN Primary

Addresses

Primary practice location

1128 E Weisgarber Rd
Suite 210
Knoxville, TN 37909-2674

Mailing address

6231 Highland Place Way Ste 101
Knoxville, TN 37919-4083
Phone (865) 264-2400

Other identifiers 1

IdentifierTypeStateIssuer
3982651MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000336 TN Practitioner - Clinical Psychologist 4587822564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Medicine Institute PCGroup PAC ID 4284828385, 21 clinicians

Practice addresses (Care Compare)

2607 Kingston Pike
Suite 250
Knoxville, TN 37919-3331
Phone (865) 264-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Institute PC Clinical CurrentSince Aug 20, 2012 Accepting new patients
Denise M. Stillman, PHD., PC Clinical PastSince Oct 1, 2002 Accepting new patients

Locations

1128 E Weisgarber Rd
Ste 210
Knoxville, TN 37909
Phone (865) 264-2400

2607 Kingston Pike
Ste 250
Knoxville, TN 37919
Phone (865) 264-2400

305 Westfield Rd
Knoxville, TN 37919
Phone (865) 409-5001

6231 Highland Place Way
Ste 101
Knoxville, TN 37919
Phone (865) 264-2400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1902837297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 HIGHLAND PLACE WAY STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194083",
            "telephone_number": "865-264-2400",
            "fax_number": "865-588-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 E WEISGARBER RD",
            "address_2": "SUITE 210",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092674",
            "telephone_number": "865-264-2400",
            "fax_number": "865-588-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "DENISE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3982651",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.