Individual provider Active NPI

David Street, MD

  • Psychiatry Physician
  • Nashville, TN
National Provider Identifier
1902953797
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD050768L Issued in PA
Practice address
1601 23Rd Ave S
Suite 3050
Nashville, TN 37212-3182
Phone
(615) 327-7130
Fax
(615) 322-2076
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 34743 TN
Otolaryngology Physician 207Y00000X 34743 TN
Psychiatry Physician 2084P0800X MD050768L PA Primary
Psychiatry Physician 2084P0800X 34743 TN

Addresses

Primary practice location

1601 23Rd Ave S
Suite 3050
Nashville, TN 37212-3182

Mailing address

1601 23Rd Ave S
Suite 3050
Nashville, TN 37212-3182
Phone (615) 327-7130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325000123 PA Practitioner - Psychiatry 6204906191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

780 E Market St
West Chester, PA 19382-4882
Phone (610) 892-3800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince May 1, 2021 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Delaware County Professional Services Current Accepting new patients
Delaware County Professional Services, Inc Psychiatry CurrentSince Sep 1, 2021 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince May 1, 2021 Accepting new patients

Locations

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 407
Chester, PA 19013
Phone (610) 619-7413

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

780 E Market St
Ste 230
West Chester, PA 19382
Phone (484) 468-1412

780 E Market St
Ste 220
West Chester, PA 19382

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Interoperability endpoints

  • Direct secure messaging: dcp.davidstreet@141748.advancedmd-direct.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1902953797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 23RD AVE S",
            "address_2": "SUITE 3050",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123182",
            "telephone_number": "615-327-7130",
            "fax_number": "615-322-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 23RD AVE S",
            "address_2": "SUITE 3050",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123182",
            "telephone_number": "615-327-7130",
            "fax_number": "615-322-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "TN",
            "license": "34743",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "34743",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD050768L",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "34743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.