Organization Active NPI

Precision Mental Health LLP

  • Psychiatry Physician
  • Cordova, TN
National Provider Identifier
1992043749
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PRECISION MENTAL HEALTH LLP
Practice address
1176 Vickery LN Ste 100
Cordova, TN 38016-0631
Phone
(901) 737-1992
Fax
(901) 309-8784
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Mrs. Tonya M Malady
Title
Practice Manager
Phone
(901) 737-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1176 Vickery LN Ste 100
Cordova, TN 38016-0631

Mailing address

1176 Vickery LN Ste 100
Cordova, TN 38016-0631
Phone (901) 737-1992

Other identifiers 1

IdentifierTypeStateIssuer
Q021987MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130603000438 TN Part B Supplier - Clinic/Group Practice 5698913655 Receives reassigned benefits from 1 practitioner
Practice locations: Cordova, TN

National Provider Directory

National Provider Directory

Locations

1138 N Germantown Pkwy
Ste 101235
Cordova, TN 38016

1138 N Germantown Pkwy
Ste 10123
Cordova, TN 38016

8223 Rockcreek Pkwy
Cordova, TN 38016
Phone (901) 336-2388

Practitioners & affiliated clinicians

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": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1992043749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 VICKERY LN STE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160631",
            "telephone_number": "901-737-1992",
            "fax_number": "901-309-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 VICKERY LN STE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160631",
            "telephone_number": "901-737-1992",
            "fax_number": "901-309-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION MENTAL HEALTH LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "MALADY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "901-737-1992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q021987",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.