Southeast Psych Nashville, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3371 Issued in TN

Legal business name

SOUTHEAST PSYCH NASHVILLE, PLLC

Practice address

5409 Maryland Way
Suite 202
Brentwood, TN 37027-5037

Phone

(615) 373-9955

NPI assigned

May 25, 2016

Last updated

May 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Hasty King, PSY.D.NPI 1144413451

Title

Licensed Psychologist

Phone

(615) 373-9955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lauren Hasty King, PSY.D.

  • Clinical Psychologist
  • Brentwood, TN
  • NPI 1144413451
  Authorized official Same address or phone

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1932557345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 MARYLAND WAY",
            "address_2": "SUITE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275037",
            "telephone_number": "615-373-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 MARYLAND WAY",
            "address_2": "SUITE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275037",
            "telephone_number": "615-373-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST PSYCH NASHVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "HASTY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "615-373-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Megan Southern, SLP

• Psychologist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.