Organization Active NPI

Open Minds Mental Health Services

  • Community Psychiatric/Mental Health Clinical Nurse Specialist
  • Goodlettsville, TN
National Provider Identifier
1972256378
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X
Legal business name
OPEN MINDS MENTAL HEALTH SERVICES
Practice address
206 Bluebird Dr
Goodlettsville, TN 37072-2302
Phone
(615) 433-6334
Fax
(615) 468-9375
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Shelley Chamberlain, PMHNP-BCNPI 1497015861
Title
Nurse Practitioner/Owner
Phone
(615) 477-3284

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
Community Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0812X Primary

Addresses

Primary practice location

206 Bluebird Dr
Goodlettsville, TN 37072-2302

Mailing address

206 Bluebird Dr
Goodlettsville, TN 37072-2302
Phone (615) 433-6334

Other identifiers 1

IdentifierTypeStateIssuer
1497015861MedicaidTN

National Provider Directory

National Provider Directory

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1972256378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BLUEBIRD DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722302",
            "telephone_number": "615-433-6334",
            "fax_number": "615-468-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BLUEBIRD DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722302",
            "telephone_number": "615-433-6334",
            "fax_number": "615-468-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MINDS MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "615-477-3284",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0812X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497015861",
            "state": "TN"
        }
    ],
    "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 Apr 17, 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.