Cleveland Psychiatric Center, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

40005 Issued in TN

Legal business name

CLEVELAND PSYCHIATRIC CENTER, PC

Practice address

1723 Mount Vernon Dr NW
Cleveland, TN 37311-3539

Phone

(423) 473-2633

Fax

(423) 473-2643

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Glynn Newman Jr., M.D.NPI 1962401760

Title

Psychiatrist/Owner

Phone

(423) 473-2633

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 8

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.

• Jerry Glynn Newman Jr., MD

  • Forensic Psychiatry Physician
  • Cleveland, TN
  • NPI 1962401760
  Medicare reassignment Care Compare group NPD Authorized official
• Jaclyn Marie Cecilia Griffith

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, TN
  • NPI 1023730298
  Medicare reassignment Care Compare group NPD
• George K McBride, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, TN
  • NPI 1962061473
  Medicare reassignment Care Compare group NPD
• Julie Nicole McBride, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, TN
  • NPI 1598324006
  Medicare reassignment Care Compare group NPD
• Michael R Robbins, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1790906436

  TN

  Medicare reassignment NPD
• Robert A Stetson Jr., MD

  • Psychiatry Physician
  • Cleveland, TN
  • NPI 1891729927
  NPD
• Lori Ann Firestone, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, TN
  • NPI 1922145283
  NPD (past)
• Julia W Goodowens, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
  • NPI 1326310301
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1972799146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 MOUNT VERNON DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113539",
            "telephone_number": "423-473-2633",
            "fax_number": "423-473-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 MOUNT VERNON DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113539",
            "telephone_number": "423-473-2633",
            "fax_number": "423-473-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND PSYCHIATRIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "GLYNN",
        "authorized_official_title_or_position": "PSYCHIATRIST/OWNER",
        "authorized_official_telephone_number": "423-473-2633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "40005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3332735",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cleveland Optical Dispensary, Inc.
• Cleveland Pain Management, PC
• Cleveland Pain Medicine, PLLC
• Cleveland Pediatrics,P.C.
• Cleveland Physical Therapy, Inc.
• Cleveland Radiology Associates, PC
• Cleveland Tennessee Hospital Company LLC
• Cleveland Tennessee Hospital Company LLC (Tennova Healthcare-Cleveland)
• Cleveland Tennessee Hospital Company LLC (Tennova Healthcare-Cleveland)
• Cleveland Tennessee Hospital Company LLC (Skyridge Medical Center)

• Psychiatry Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.