SOUTHEASTERN BEHAVIORAL HEALTH (NPI# 1215121165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215121165 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN BEHAVIORAL HEALTH |
| Practice Address |
4312 South Ter Chattanooga TN 37412-2904 |
| Practice Telephone | 4236226301 |
| Mailing Telephone | 4236226301 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |
| Authorized Official Name | DR. LINWOOD A ROBERTSON (DIRECTOR) |
| Authorized Official Telephone | 4236226301 |
| Authorized Official Credential | PSY. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | I 214-106-9085 | TN | Agencies |
| Street Address |
4312 SOUTH TER |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37412-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134109788 | Linwood Alan Robertson | Psychologist | 4312 South Ter, Chattanooga, TN 37412-2904 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1487080149 | Puckett Med Van LLC | Non-emergency Medical Transport (VAN) | 5603 Ringgold Road, East Ridge, TN 37412 | 2013-09-25 |
| 1538420229 | Nathan Hartgrove | Internal Medicine | 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 | 2012-05-30 |
| 1770869042 | Jonathan Bailey Barnett I | Pharmacist | 5301 Ringold Rd, East Ridge, TN 37412 | 2011-10-31 |
| 1932482791 | Ronald P Leonard | Pharmacist | 7354 East Brainerd Rd, Chattanooga, TN 37412 | 2011-09-27 |
| 1164758561 | Zoilus, Inc | Home Health | 912 Belvoir Hills Circle, Chattanooga, TN 37412 | 2009-10-20 |
| 1093935157 | Alan L Crisman | Dentist | 1421 Armour Street, Chattanooga, TN 37412 | 2007-04-30 |
| 1700949989 | Keith Brian Sparkman | Optometrist | 1013 Spring Creek Rd, Chattanooga, TN 37412 | 2006-12-18 |
| 1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
| 1356434070 | Mckinley Snipes Lundy Sr. | Preventive Medicine | 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 | 2006-10-02 |
| Find all providers in zip 37412 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1609398312 | Advanced Behavioral-emotional Care Services, LLC. | Community/Behavioral Health | 200 W Ml King Blvd Ste 1000, Chattanooga, TN 37402-2571 | 2017-07-13 |
| 1992184634 | Tyronda Wilkerson | Community/Behavioral Health | 621 Memorial Dr Apt 1903, Chattanooga, TN 37415-5528 | 2015-05-27 |
| 1316343650 | Caring Hands & Open Hearts, LLC | Community/Behavioral Health | 5751 Uptain Rd Ste 105, Chattanooga, TN 37411-5671 | 2014-11-14 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1467708594 | Ctr. for Individ. & Family Effectiveness | Community/Behavioral Health | 2441 Broad St., Ste. 150, Chattanooga, TN 37408 | 2012-07-26 |
| 1609196799 | Hamilton County Health Dept | Community/Behavioral Health | 921 E Third St, Chattanooga, TN 37403 | 2010-06-11 |
| 1912134057 | Fortwood Center, Inc. | Community/Behavioral Health | 1400 Bailey Ave, Chattanooga, TN 37404-2903 | 2009-06-16 |
| 1881821056 | Fortwood Center, Inc. | Community/Behavioral Health | 1411 Bailey Ave, Chattanooga, TN 37404-2904 | 2009-06-16 |
| 1366679409 | Fortwood Center, Inc. | Community/Behavioral Health | 1508 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2009-06-16 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37412 |
Please comment or provide details below to improve the information on SOUTHEASTERN BEHAVIORAL HEALTH.
| 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.