Individual provider Active NPI

Rebecca Lynne Pearce, PSYD

  • Psychologist
  • Nashville, TN
National Provider Identifier
1982785812
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P0000002067 Issued in TN
Practice address
1410 17TH Ave S
Nashville, TN 37212-2804
Phone
(615) 383-4300
Fax
(615) 383-4352
NPI assigned
Oct 18, 2006
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P0000002067 TN Primary

Addresses

Primary practice location

1410 17TH Ave S
Nashville, TN 37212-2804

Mailing address

1410 17TH Ave S
Nashville, TN 37212-2804
Phone (615) 383-4300

Other identifiers 2

IdentifierTypeStateIssuer
136841OtherVALUE OPTIONS
3091444OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000818 TN Practitioner - Clinical Psychologist 1557317021 Practice locations: Nashville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1410 17TH Ave S
Nashville, TN 37212-2804
Phone (615) 383-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P0000002067TNMDPsychologist
2067TNMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1982785812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 17TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122804",
            "telephone_number": "615-383-4300",
            "fax_number": "615-383-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 17TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122804",
            "telephone_number": "615-383-4300",
            "fax_number": "615-383-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P0000002067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "136841",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3091444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.