Behavioral Health of Greeneville, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BEHAVIORAL HEALTH OF GREENEVILLE, INC.

Practice address

122 Village Dr
Suite 1
Greeneville, TN 37745-4228

Phone

(423) 787-0238

Fax

(423) 787-0796

NPI assigned

Feb 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy J Sullivan Jr., MD

Title

Medical Director

Phone

(423) 787-0238

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1139097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992777841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 VILLAGE DR",
            "address_2": "SUITE 1",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454228",
            "telephone_number": "423-787-0238",
            "fax_number": "423-787-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 VILLAGE DR",
            "address_2": "SUITE 1",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454228",
            "telephone_number": "423-787-0238",
            "fax_number": "423-787-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH OF GREENEVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "423-787-0238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3926726",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3882277",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Haskell Beals, MD
• Judi L Beard, DPH
• Thomas F Beckner III, MD
• Grace Beddingfield
• Behavioral Advising & Consulting
• Tanyelle Elizabeth Bellamy, FNP
• Charles Albert Bellefant Jr., M.A, LMFT
• Benchmark Healthcare Services LLC
• Jessica Suzanne Bennett, PA-C
• Ray Bennnett

• All providers in Greeneville, TN
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.