DR. E. MCPHERSON BOTTS, PSY.D. (NPI# 1336406016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336406016 |
| Entity Type | Organization |
| Organization Name | DR. E. MCPHERSON BOTTS, PSY.D. |
| Practice Address |
399 Dover Rd Unit B Clarksville TN 37042 |
| Mailing Address |
1585 Bridgewood Rd Clarksville TN 37040-6815 |
| Practice Telephone | 9312634824 |
| Practice Fax Number | 7194662073 |
| Mailing Telephone | 9312634824 |
| Mailing Fax Number | 7194662073 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2019-05-12 |
| Authorized Official Name | DR. ELIZABETH MCPHERSON BOTTS (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Telephone | 9312634824 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1646 | AL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
3589 | CO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3423 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE | Q008340281 | 01 |
| TN | Q045451 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 399 Dover Rd Unit B, Clarksville, TN 370424133 | 9312634824 | 7194662073 |
| 413 Security Blvd, C-5, Colorado Springs, CO 809111773 | 7196618530 | 7194662073 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Dr. E. McPherson Botts, Psy.D. | 413 Security Blvd., Ste C-5, Colorado Springs, CO 80911 |
| Street Address |
399 DOVER RD UNIT B |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
| 1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| 1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
| 1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| Find all providers in zip 37042 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033586748 | Dannie Harris | Psychologist | 1064 S Riverside Dr Ste D, Clarksville, TN 37040-4746 | 2015-08-28 |
| 1841687456 | Brighter Day Health LLC | Psychologist | 840 Glastonbury Ct, Clarksville, TN 37043-5944 | 2015-04-21 |
| 1306118948 | Jeffrey Glenn Rutter | Psychologist | 524 College St, Clarksville, TN 37040-3255 | 2012-01-28 |
| 1902102528 | Claudia Joe Salter | Psychologist | 6100 Daylong Ln Ste 103, Clarksville, MD 21029 | 2011-01-28 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1497908859 | Elizabeth Mcpherson Botts | Psychologist | 399 Dover Rd, Clarksville, TN 37042-4133 | 2008-10-29 |
| 1417977802 | Janice Dianne Martin | Psychologist | 1891 Old Trenton Road, Clarksville, TN 37040 | 2006-07-20 |
| 1093758591 | Keith William Hannan | Psychologist | 12037 Floating Clouds Path, Clarksville, MD 21029-1678 | 2006-06-13 |
| 1245210475 | Suzanne Michelle Guerzon | Psychologist | 12840 Brighton Dam Rd, Clarksville, MD 21029-1412 | 2006-01-23 |
| 1992706022 | Denise L Squire | Psychologist | 200 Commerce Street, Suite E, Clarksville, TN 37040 | 2005-08-10 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37042 |
Please comment or provide details below to improve the information on DR. E. MCPHERSON BOTTS, PSY.D..
| 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.