Individual provider Active NPI

Rebecca Louise Halperin, MD

  • Psychiatry Physician
  • Knoxville, TN
National Provider Identifier
1942363833
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD21830 Issued in TN
Practice address
9217 Park West Blvd
Suite D1
Knoxville, TN 37923-4412
Phone
(865) 691-2425
Fax
(865) 531-8440
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD21830 TN Primary

Addresses

Primary practice location

9217 Park West Blvd
Suite D1
Knoxville, TN 37923-4412

Mailing address

9217 Park West Blvd
Suite D1
Knoxville, TN 37923-4412
Phone (865) 691-2425

Other identifiers 2

IdentifierTypeStateIssuer
3069899MedicaidTN
0202329OtherTNBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21830TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Hamrick PLLC Past Accepting new patients
L. Michael Sherrod, PH.D, , P.C. PastSince Jul 1, 1990 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1942363833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 PARK WEST BLVD",
            "address_2": "SUITE D1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234412",
            "telephone_number": "865-691-2425",
            "fax_number": "865-531-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 PARK WEST BLVD",
            "address_2": "SUITE D1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234412",
            "telephone_number": "865-691-2425",
            "fax_number": "865-531-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPERIN",
        "first_name": "REBECCA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD21830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3069899",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0202329",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.