Imani Behavioral Health, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

IMANI BEHAVIORAL HEALTH, PLLC

Practice address

93 Beaumont St
Clarksville, TN 37040-3217

Phone

(931) 919-2686

NPI assigned

May 2, 2018

Organization subpart

No

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

Authorized official

Name

Jeremy Lynch, PH.D.NPI 1639467228

Title

Member

Phone

(615) 669-8372

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 7

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

• Tamara Boone, MS

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1245729284

  Single Specialty

  Medicare reassignment NPD
• Tiffany R Williams, PHD

  • Psychologist
  • Nashville, TN
  • NPI 1376819045
  Medicare reassignment NPD
• Jeremy Lynch, PH.D.

  • Psychologist
  • Clarksville, TN
  • NPI 1639467228
  NPD Authorized official
• Heather James

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1962040923
  NPD (past)
• Justin M. Mickles, MS

  • Professional Counselor
  • Clarksville, TN
  • NPI 1649266388
  NPD (past)
• Penny Reif

  • Counselor
  • Brentwood, TN
  • NPI 1174250047
  NPD (past)
• Sharon Lynn West, BS

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1326699737
  NPD (past)

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1992294102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BEAUMONT ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403217",
            "telephone_number": "931-919-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BEAUMONT ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403217",
            "telephone_number": "931-919-2686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Bna Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372172583",
            "country_code": "US",
            "telephone_number": "931-274-7588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMANI BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "615-669-8372",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Hutchison, DC
• Malik Ibrahim, M.D
• Rachel Idem, CCC-SLP
• Vera Ikekhide, PMHNP-BC
• Jordan Chase Ilic, PHARMD
• In Bloom ABA, LLC
• In Touch Chiropractic, LLC
• Independent Physical Therapy, LLC
• Sydney Infante
• Infinite Futures ABA

• Psychologist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.