CORDOVA PSYCHIATRIC ASSOCIATES (NPI# 1386899300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386899300 |
| Entity Type | Organization |
| Organization Name | CORDOVA PSYCHIATRIC ASSOCIATES |
| Practice Address |
8289 Cordova Rd #106 Cordova TN 38016 |
| Practice Telephone | 9017374565 |
| Practice Fax Number | 9017374312 |
| Mailing Telephone | 9017374565 |
| Mailing Fax Number | 9017374312 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2015-04-22 |
| Authorized Official Name | MARK ALLEN HESSELRODE (OWNER) |
| Authorized Official Telephone | 9017374565 |
| Authorized Official Credential | APN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | APN0000007462 | TN | Agencies |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
8289 CORDOVA RD #106 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164417127 | Mark Allen Hesselrode | Nurse Practitioner | 8289 Cordova Rd #106, Cordova, TN 38016 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| 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 |
|---|---|---|---|---|
| 1649896770 | New Wave Counseling Services, LLC | Community/Behavioral Health | 175 Guiomar Rd, Cordova, SC 29039-9344 | 2020-06-24 |
| 1235537416 | Jennifer Taylor Play Therapy Services LLC | Community/Behavioral Health | 879 Willow Tree Cir, Suite 102, Cordova, TN 38018-3121 | 2014-12-19 |
| 1316258411 | Quality Behavioral Interventions and Consulting, LLC | Community/Behavioral Health | 1017 Cordova Ridge Pl, Cordova, TN 38018-0103 | 2010-06-24 |
| 1982757316 | Transformation Center for Women LLC | Community/Behavioral Health | 1088 Rogers Road, Cordova, TN 38018 | 2007-01-19 |
| 1720696719 | Laken Leeann Chism | Community/Behavioral Health | 8500 Walnut Grove Rd, Cordova, TN 38018-7392 | 2020-07-16 |
| 1740672799 | The Parker Firm LLC | Community/Behavioral Health | 7203 Mccleskey Cv, Cordova, TN 38018-5688 | 2015-02-28 |
| 1033540943 | Julie Demarco,bcba | Community/Behavioral Health | 8284 Clinton Way Ln, Cordova, TN 38018-6305 | 2013-12-02 |
| 1740580182 | Shallis Michelle Gonda | Community/Behavioral Health | 1155 Cully Rd, Cordova, TN 38018-8502 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889823 | Infinite Changes Aba Therapy & Autism Services | Community/Behavioral Health | 5115 Covington Way Ste 5, Memphis, TN 38134-5619 | 2020-10-20 |
| 1144827783 | Kamilah Marie Williams | Community/Behavioral Health | 2333 Rosa L. Parks Apt 402, Nashville, TN 37228 | 2020-10-06 |
| 1073145876 | Middle Tn Counseling Services, Pllc | Community/Behavioral Health | 104 Peacock St., Bell Buckle, TN 37020-3702 | 2020-02-10 |
| 1316579253 | Connected Counseling, LLC | Community/Behavioral Health | 1816 Memorial Cir, Clarksville, TN 37043-4539 | 2020-02-09 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1922643220 | Rs Medical Services Ltd | Community/Behavioral Health | 2700 Jackson Ave Bldg 1, Memphis, TN 38108-3330 | 2019-11-10 |
| 1790337699 | Clean, Inc. | Community/Behavioral Health | 3146 Write Pl Apt 4, Memphis, TN 38128-4535 | 2019-07-10 |
| 1861050882 | Divine Trinity Outreach Center | Community/Behavioral Health | 4670 Mary Angela Rd, Memphis, TN 38109-4802 | 2019-06-04 |
| 1740749175 | Sunflower Counseling Service Pllc | Community/Behavioral Health | 6628 Elmore Woods Cv, Memphis, TN 38134-4745 | 2019-03-15 |
| 1285190181 | Jenny Sue Collins-king | Community/Behavioral Health | 300 W 1st North St, Morristown, TN 37814-4605 | 2019-02-15 |
| 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.