Organization Active NPI

Elderberry Psychiatric Consulting

  • Geriatric Psychiatry Physician
  • Goodlettsville, TN
National Provider Identifier
1962248765
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
ELDERBERRY PSYCHIATRIC CONSULTING
Practice address
327 Caldwell Dr Ste 500
Goodlettsville, TN 37072-3410
Phone
(615) 239-1404
Fax
(615) 900-2716
NPI assigned
Jul 2, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Dr. Jean M. Salcedo, MD, MBANPI 1386091700
Title
Founder
Phone
(615) 434-4892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X NU Primary

Addresses

Primary practice location

327 Caldwell Dr Ste 500
Goodlettsville, TN 37072-3410

Mailing address

6339 Charlotte Pike # 1027
Nashville, TN 37209-2926
Phone (615) 434-4892

National Provider Directory

National Provider Directory

Locations

327 Caldwell Dr
Ste 500
Goodlettsville, TN 37072
Phone (615) 239-1404

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1962248765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 CHARLOTTE PIKE # 1027",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372092926",
            "telephone_number": "615-434-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 CALDWELL DR STE 500",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723410",
            "telephone_number": "615-239-1404",
            "fax_number": "615-900-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERBERRY PSYCHIATRIC CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "SALCEDO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "615-434-4892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.