DR. CLIFFORD STEPHEN NASDAHL


Address: 1030 Jefferson Ave, Department of Psychiatry/pharmacy, Memphis, TN 38104-2127
Phone: 9015238990

DR. CLIFFORD STEPHEN NASDAHL (NPI# 1144332826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144332826
Entity Type Individual
Full Name DR. CLIFFORD STEPHEN NASDAHL
Other Name DR. CLIFFORD STEPHEN NASDAHL
Credential PHARM.D.,BCPP
Practice Address 1030 Jefferson Ave
Department of Psychiatry/pharmacy
Memphis
TN 38104-2127
Mailing Address 493 E Racquet Club Pl
Memphis
TN 38117-4524
Practice Telephone 9015238990
Practice Fax Number 9015777429
Mailing Telephone 9016834809
Enumeration Date 2006-08-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1300X Pharmacist
Specialization: Psychiatric
RPH32359 CA Pharmacy Service Providers

Office Location

Street Address 1030 JEFFERSON AVE
DEPARTMENT OF PSYCHIATRY/PHARMACY
City MEMPHIS
State TN
Zip Code 38104-2127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982697025 Katherine Denton Sanford Optometrist 1030 Jefferson Ave, Mail Code 112d, Memphis, TN 38104-2127 2005-08-24
1528667938 Mckenzie Bahl Recreation Therapist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-10-19
1427656834 Phillip David Resuggan Music Therapist 1030 Jefferson Ave, Memphis, TN 38104-2193 2020-10-16
1962009159 Rachel Diann Roberts Nurse Anesthetist, Certified Registered 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-10-01
1225643018 Melanie Warren Nurse Practitioner 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-09-09
1942828892 Brady Cole Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-07-08
1457978595 Mariko Thel Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-07-05
1215554910 Weston Paul Keen Pharmacy 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-06-29
1225655236 Rebecca Fong Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-06-26
1225653660 Brandy Hollums Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
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Taxonomy Information

Taxonomy Code 1835P1300X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Psychiatric

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184767709 Greta Lockhart Williams Pharmacist 135 N Pauline St Fl 4, Community Behavioral Health, Memphis, TN 38105-4619 2007-02-14
1023141934 Patti Mae Jordan Pharmacist 2150 Whitney Ave, Memphis, TN 38127-6662 2007-03-13
1265565071 Rosa Martha Drannon Pharmacist 2150 Whitney Ave, Memphis, TN 38127-6662 2007-03-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730702325 Erin Morelock Pharmacist 8811 Samuel Andrew Ln, Knoxville, TN 37922-6708 2020-05-19
1851733828 Eric D Johnson Pharmacist 250 Glenis Dr, Murfreesboro, TN 37129-5160 2013-07-19
1275827156 Stacy Miller Pharmacist Building 8, Dogwood Ave., Mountain Home, TN 37684 2011-06-08
1851458129 Jason A Carter Pharmacist 710 James Robertson Pkwy Fl 11, Division of Clinical Leadership, Nashville, TN 37243-0001 2007-01-03
1053318220 Sarah Tollison Melton Pharmacist Building 7, Veteran Administration Campus, Johnson City, TN 37614-1701 2005-07-04
1073510541 Robin Anne Garner-smith Pharmacist 431 Park Village Rd, Suite 105, Knoxville, TN 37923-3849 2005-06-30
1124647458 Allison Rae Sweat Pharmacist 2014 Quail Hollow Cir, Franklin, TN 37067-5967 2020-04-16
1649899014 Hillarie Morgan Clevlen Pharmacist 2014 Quail Hollow Cir, Franklin, TN 37067-5967 2020-04-15
1952853475 Christine Beatty Pharmacist 240 W Tyrone Rd, Oak Ridge, TN 37830-6517 2016-11-01
1104287903 Lance Morgan Pharmacist 221 Stewarts Ferry Pike, Nashville, TN 37214-3325 2016-03-08
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Competitor

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City MEMPHIS
Zip Code 38104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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