John Dale Alden III, PH.D.
Individual provider Active NPI Clinical Neuropsychologist · Columbia, TN
NPI 1992772206 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1992772206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- P1725 (TN)
- Practice address
- 1324 Trotwood Ave
10
Columbia, TN 38401-4750 - Phone
- (615) 351-3987
- Fax
- (931) 380-0058
- NPI assigned
- Mar 6, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1324 Trotwood Ave
Suite 6
Columbia, TN 38401-4750
Phone (931) 223-8969
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060404000699 | TN | Practitioner - Clinical Psychologist | 6608884408 | Practice locations: Columbia, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1725 | TN | MD | Clinical Neuropsychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | P1725 | TN | Yes |
| Clinical Psychologist | 103TC0700X | P1725 | TN |
Addresses
Primary practice location
1324 Trotwood Ave
10
Columbia, TN 38401-4750
Mailing address
1324 Trotwood Ave
10
Columbia, TN 38401-4750
Phone (615) 351-3987
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- Nicole Wanda Alaimo
- Aimee Marie Alberd
- Kristin Nicole Aldridge
- Tessa Reanne Aldridge
- Angela A Alexander
- Fathi Idris Ali
- Alicia a Victory, PSYD, LLC
All providers in Columbia, TN · Clinical Neuropsychologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.