EAST TENNESSEE PSYCHOLOGICAL TESTING (NPI# 1336421452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336421452 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE PSYCHOLOGICAL TESTING |
| Practice Address |
8905 Sony Ln Knoxville TN 37923-5218 |
| Practice Telephone | 8652474055 |
| Practice Fax Number | 8443886159 |
| Mailing Telephone | 8652474055 |
| Mailing Fax Number | 8443886159 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | DR. PHILIP K. AXTELL (DIRECTOR) |
| Authorized Official Telephone | 8652474055 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2763 | TN | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EAST TENNESSEE PSYCHOLOGICAL TESTING, LLC | 108 W Summit Hill Dr, Knoxville, TN 37902-1025 |
| Street Address |
8905 SONY LN |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528240116 | Ellen Senter Denny | Psychologist | 8905 Sony Ln, Knoxville, TN 37923-5218 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407269384 | Arianna Boddy | Psychologist | 150 Fox Rd, Knoxville, TN 37922-3303 | 2014-06-09 |
| 1205265410 | Daniel J Williams, Psyd, LLC | Psychologist | 108 West Summit Hill Dr., Knoxville, TN 37902 | 2013-11-07 |
| 1679527287 | Susan Cohn Koller | Psychologist | 305 Westfield Dr, Knoxville, TN 37919-4824 | 2006-05-19 |
| 1013243484 | Paula J Fite | Psychologist | 4048 Sutherland Ave, Knoxville, TN 37919-5103 | 2009-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629551932 | Amy Monn | Psychologist | 1604 Westgate Cir Ste 220, Brentwood, TN 37027-8580 | 2018-09-12 |
| 1881172922 | Elisabeth Quintrell Sweeney | Psychologist | 2209 Abbott Martin Rd, Suite 100, Nashville, TN 37215 | 2018-07-31 |
| 1881940237 | Richard Pitcock | Psychologist | 1417 Randy Rd, Ashland City, TN 37015-2815 | 2012-08-02 |
| 1053501932 | Deborah Anne Vanslyke | Psychologist | Vanderbilt Children's Hospital, 2200 Children's Way, Nashville, TN 37232-0001 | 2007-07-27 |
| 1245392760 | Barbara L Taylor | Psychologist | 2341 Jones Bend Road, Louisville, TN 37777 | 2006-12-14 |
| 1508967423 | Hughes Mcdaniel & Associates Plc | Psychologist | 131 Sanders Ferry Rd, # 203, Hendersonville, TN 37075-3662 | 2006-09-25 |
| 1205443736 | Jessica Schwartzman | Psychologist | 1500 21st Ave S Ste 2200, Nashville, TN 37212-3137 | 2020-09-29 |
| 1427570647 | Liliana Wagner | Psychologist | 2200 Childrens Way, Nashville, TN 37232-3727 | 2017-07-10 |
| 1538606728 | Jennifer Allen | Psychologist | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2017-01-25 |
| 1023460128 | James Kenneth Goodlad IIi | Psychologist | 5409 Maryland Way, Suite 202, Brentwood, TN 37027-5037 | 2016-07-13 |
| Find all providers with the same taxonomy | ||||
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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.