Germantown Behavioral Solutions PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GERMANTOWN BEHAVIORAL SOLUTIONS PLLC

Practice address

3059 Forest Hill Irene Rd Ste 104
Germantown, TN 38138-7808

Phone

(901) 499-5459

NPI assigned

Jun 8, 2021

Organization subpart

No

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

Authorized official

Name

Emily VanderpoolNPI 1760906945

Title

Owner

Phone

(901) 499-5459

Specialties & licenses 4

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Vanderpool

  • Professional Counselor
  • Memphis, TN
  • NPI 1760906945

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1962079046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 FOREST HILL IRENE RD STE 104",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387808",
            "telephone_number": "901-499-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 FOREST HILL IRENE RD STE 104",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387808",
            "telephone_number": "901-499-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN BEHAVIORAL SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "VANDERPOOL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-499-5459"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gtownbehavioral.com",
            "affiliation": "N",
            "address_1": "3059 Forest Hill Irene Rd Ste 104",
            "city": "Germantown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381387808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gen Smiles Inc.
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• William Rayburn Gentry Jr., PHD
• Annese Jaffery Geraci, OT
• Germantown Ambulatory Surgical LLC
• Germantown Chiropractic Clinic PLLC
• Germantown Dental Group
• Germantown Dermatology LLC
• Germantown Emergency Physicians, PLLC
• Germantown Internal Medicine Associates,PC

• Mental Health Counselor in Germantown, TN
• Providers in Germantown, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.