REFORM PSYCHIATRY LLC (NPI# 1417510363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417510363 |
Entity Type | Organization |
Organization Name | REFORM PSYCHIATRY LLC |
Practice Address |
433 Nissan Dr Ste 301 Smyrna TN 37167 |
Mailing Address |
433 Nissan Dr Ste 301 Smyrna TN 37167-4360 |
Practice Telephone | 6157510347 |
Practice Fax Number | 6152495162 |
Mailing Telephone | 6157510347 |
Mailing Fax Number | 6152495162 |
Enumeration Date | 2019-04-16 |
Last Update Date | 2019-07-01 |
Authorized Official Name | JEMIMA MENSAH (OWNER) |
Authorized Official Telephone | 2075300461 |
Authorized Official Credential | PMHNP |
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) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q049227 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1925 Brookshine Prt, Antioch, TN 370132958 | 6157681899 |
Street Address |
433 NISSAN DR STE 301 |
City | SMYRNA |
State | TN |
Zip Code | 37167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
1205210911 | Richard Anderson | Dentist | 840 Nissan Dr., Smyrna, TN 37167 | 2015-07-13 |
Find all providers in zip 37167 |
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 |
---|---|---|---|---|
1093327488 | Elevate Behavioral Health | Clinic/Center | 304 Cumberland Way Se, Smyrna, GA 30080-7766 | 2020-08-18 |
1811424583 | Connections Community Support Programs Inc. | Clinic/Center | 676 Black Diamond Rd, Smyrna, DE 19977-9670 | 2017-05-12 |
1174122014 | Heartbeat Therapy, Inc | Clinic/Center | 2400 Herodian Way Se, Smyrna, GA 30080-8581 | 2020-10-21 |
1508463449 | Grace Center Mental Health Services, LLC | Clinic/Center | 229 N Main St, Ste 202, Smyrna, DE 19977-1997 | 2020-10-05 |
1104435759 | Tennessee Family Solutions, Inc | Clinic/Center | 831 Seven Oaks Blvd, Smyrna, TN 37167-6485 | 2020-07-29 |
1104300250 | Isom E White Lcsw, LLC | Clinic/Center | 3050 Atlanta Rd Se, Smyrna, GA 30080-8255 | 2018-09-24 |
1316239247 | Solution Focused Therapy Services | Clinic/Center | 1254 Concord Rd Se, 201, Smyrna, GA 30080-4371 | 2011-05-11 |
1952468316 | Shailesh Gandhi,md,pc | Clinic/Center | 4015 S Cobb Dr Se, Suite 275, Smyrna, GA 30080-6303 | 2007-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679195036 | Mckenzie Medical Center PC | Clinic/Center | 205 Hospital Dr Ste C, Mc Kenzie, TN 38201-1649 | 2020-05-08 |
1316573199 | Omni Community Health | Clinic/Center | 740 Conference Drive, Suite 101, Goodlettsville, TN 37072-2084 | 2020-03-12 |
1942832506 | Arrow of Hope Counseling Center, Pllc | Clinic/Center | 130 Hillcrest Dr Ste 105, Clarksville, TN 37043-5064 | 2020-02-11 |
1184269573 | Greeneville Counseling and Consultation | Clinic/Center | 1107 Temple St Ste 406, Greeneville, TN 37745-6357 | 2019-11-09 |
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 |
1801437785 | Open Door Treatment Center Inc | Clinic/Center | 3622 Merritt St, Memphis, TN 38128-3734 | 2019-10-02 |
1316597354 | Innovative Care Solutions | Clinic/Center | 4582 W Andrew Johnson Hwy, Morristown, TN 37814-1038 | 2019-09-11 |
1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
1073165254 | Faraday Chattanooga PC | Clinic/Center | 6031 Shallowford Rd Ste 113, Chattanooga, TN 37421-1984 | 2019-07-09 |
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.