KNOXVILLE NEUROFEEDBACK GROUP (NPI# 1174059851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174059851 |
| Entity Type | Organization |
| Organization Name | KNOXVILLE NEUROFEEDBACK GROUP |
| Practice Address |
7417 Kingston Pike Ste 103 Knoxville TN 37919-5616 |
| Practice Telephone | 8656611829 |
| Practice Fax Number | 8655792522 |
| Mailing Telephone | 8656611829 |
| Mailing Fax Number | 8655792522 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | STEPHANIE S CARROLL (CEO) |
| Authorized Official Telephone | 8656611929 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
P0000002366 | TN | Ambulatory Health Care Facilities |
| Street Address |
7417 KINGSTON PIKE STE 103 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902041791 | Psychoeducational Network | Psychologist | 7417 Kingston Pike Ste 103, Knoxville, TN 37919-5616 | 2008-12-08 |
| 1851809784 | Ali Weeks | Behavioral Analyst | 7417 Kingston Pike Ste 103, Knoxville, TN 37919-5616 | 2018-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033752597 | Tms of East Tennessee Pllc | Clinic/Center | 10241 Kingston Pike Ste 2, Knoxville, TN 37922-3240 | 2019-10-28 |
| 1104469931 | Trailhead Treatment Center | Clinic/Center | 2607 Kingston Pike Ste 2, Knoxville, TN 37919-3336 | 2019-10-24 |
| 1871954867 | Drd Management, Inc | Clinic/Center | 1910 Ailor Ave, Knoxville, TN 37921-5803 | 2016-03-17 |
| 1972905156 | Bearden Psychological and Wellness Center | Clinic/Center | 813 South Northsore Drive, Suite 105, Knoxville, TN 37919 | 2014-09-19 |
| 1154303162 | Parkwest Medical Center | Clinic/Center | 6800 Baum Dr, Knoxville, TN 37919-7315 | 2005-11-16 |
| 1710542592 | Cognitive Connections, LLC | Clinic/Center | 9041 Executive Park Drive, Ste 114, Knoxville, TN 37923 | 2019-05-07 |
| 1942750773 | Jessica Livingston Msn Aprn | Clinic/Center | 3720 N Broadway St, Knoxville, TN 37917-3120 | 2016-10-05 |
| 1093151003 | Drd Management, Inc | Clinic/Center | 626 Bernard Ave, Knoxville, TN 37921-6253 | 2013-05-16 |
| 1588784938 | Prime Provider Systems, Inc. | Clinic/Center | 1111 N Northshore Dr, Suite South 450, Knoxville, TN 37919-4005 | 2007-03-30 |
| 1659330686 | Helen Ross Mcnabb Center | Clinic/Center | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2006-03-20 |
| Find all providers in KNOXVILLE | ||||
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| 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.