NPIMap

Organization Active NPI

Perkins-Janicek Psychiatric Group, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Goodlettsville, TN
National Provider Identifier
1992575203
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PERKINS-JANICEK PSYCHIATRIC GROUP, PLLC
Practice address
120 Two Mile Pike
Goodlettsville, TN 37072-1832
Phone
(615) 239-1404
Fax
(615) 900-2716
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Angela Tidwell JanicekNPI 1740949668
Title
Aprn/Co-Owner
Phone
(615) 239-1404

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

120 Two Mile Pike
Goodlettsville, TN 37072-1832

Mailing address

120 Two Mile Pike
Goodlettsville, TN 37072-1832
Phone (615) 239-1404

Other practice location 1

327 Caldwell Dr Ste 500
Goodlettsville, TN 37072-3410
Phone (615) 239-1404

Other names 1

  • Premier Psychiatric Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240701004138 TN Part B Supplier - Clinic/Group Practice 9739623729 Receives reassigned benefits from 8 practitioners
Practice locations: Goodlettsville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1992575203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TWO MILE PIKE",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721832",
            "telephone_number": "615-239-1404",
            "fax_number": "615-900-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TWO MILE PIKE",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721832",
            "telephone_number": "615-239-1404",
            "fax_number": "615-900-2716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Caldwell Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Goodlettsville",
            "state": "TN",
            "postal_code": "370723410",
            "country_code": "US",
            "telephone_number": "615-239-1404",
            "fax_number": "615-900-2716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERKINS-JANICEK PSYCHIATRIC GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "JANICEK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "TIDWELL",
        "authorized_official_title_or_position": "APRN/CO-OWNER",
        "authorized_official_telephone_number": "615-239-1404"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 20, 2025; 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.