STATE OF TENNESSEE-WESTERN MENTAL HEALTH INSTITUTE (NPI# 1538114020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538114020 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE-WESTERN MENTAL HEALTH INSTITUTE |
| Practice Address |
11100 Highway 64 Bolivar TN 38008-1554 |
| Practice Telephone | 7312282000 |
| Practice Fax Number | 7316589822 |
| Mailing Telephone | 7312282000 |
| Mailing Fax Number | 7316589822 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD B TAYLOR (FISCAL DIRECTOR) |
| Authorized Official Telephone | 7312282044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | L216-075-1114 | TN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 444008/3282236 | 05 | |
| TN | BLUE CROSS/BLUE SHIELD | 10796/2003053 | 01 |
| Street Address |
11100 HIGHWAY 64 |
| City | BOLIVAR |
| State | TN |
| Zip Code | 38008-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083270623 | Tamisha Slayton Hodum | Registered Nurse | 11100 Highway 64, Bolivar, TN 38008-1554 | 2019-05-18 |
| 1295116531 | Danielle Whitehurst | Psychiatry & Neurology | 11100 Highway 64, Bolivar, TN 38008-1554 | 2015-06-12 |
| 1104192053 | Maggie G. Billings | Nurse Practitioner | 11100 Highway 64, Bolivar, TN 38008-1554 | 2012-03-26 |
| 1780698548 | Vijaya K Chandel | Psychiatry & Neurology | 11100 Highway 64, Bolivar, TN 38008-1554 | 2006-07-28 |
| 1629012554 | Philip H Morson | Neuromusculoskeletal Medicine & OMM | 11100 Highway 64, Bolivar, TN 38008-1554 | 2006-06-14 |
| 1346281300 | Jeffrey M Robbins | Psychiatry & Neurology | 11100 Highway 64, Bolivar, TN 38008-1554 | 2006-06-09 |
| 1275572877 | Hilary F Linder | Psychiatry & Neurology | 11100 Highway 64, Bolivar, TN 38008-1554 | 2006-06-06 |
| 1750320883 | James William Varner | Psychiatry & Neurology | 11100 Highway 64, Bolivar, TN 38008-1554 | 2006-06-05 |
| 1568418499 | Sherwin A Yaffe | Psychiatry & Neurology | 11100 Highway 64, Bolivar, TN 38008-1554 | 2006-05-25 |
| 1518913102 | Janell Joan Batchellor | Psychiatry & Neurology | 11100 Highway 64, Bolivar, TN 38008-1554 | 2006-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| 1598326233 | Holly Brooke Shourd | Family Medicine | 1359 W Market St., Bolivar, TN 38008 | 2019-06-24 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
| 1942458344 | Anita Pearl Johnson | Physical Therapy Assistant | 700 Knuckolls Ave, Bolivar, TN 38008 | 2008-08-28 |
| 1841340007 | State of Tennessee | Public Health or Welfare | 10825 Old Hwy 64, Bolivar, TN 38008 | 2007-01-11 |
| 1164479721 | Betty Ragon Lenoir | Physical Therapist | 789 Tennessee St, Bolivar, TN 38008 | 2006-05-28 |
| 1689623050 | County of Hardeman | Ambulance | 735 Naylor St, Bolivar, TN 38008 | 2006-05-10 |
| 1841287109 | Michiel Brent Rudder | Family Medicine | 622 West Market Street, Bolivar, TN 38008 | 2005-10-03 |
| 1982606497 | Richard Mast Reinhard IIi | Pediatrics | 629 Nuckolls Rd, Bolivar, TN 38008 | 2005-08-15 |
| Find all providers in zip 38008 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568006633 | Cumberland Behavioral Health, LLC | Psychiatric Hospital | 300 Great Circle Rd, Nashville, TN 37228-1752 | 2019-11-01 |
| 1124672704 | Tristar Maury Behavioral Healthcare, LLC | Psychiatric Hospital | 1001 N James M Campbell Blvd, Columbia, TN 38401-2689 | 2019-07-31 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1114452216 | Cherie J Landon | Psychiatric Hospital | 7206 John Norton Rd, Knoxville, TN 37920-6630 | 2017-04-26 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1235516097 | Behavioral Healthcare Center At Memphis, Inc. | Psychiatric Hospital | 1505 N Second Street, Memphis, TN 38107 | 2015-04-30 |
| 1215324033 | Aaa Psychiatric Services, Pllc | Psychiatric Hospital | 5147 Wemberley Dr, Memphis, TN 38125-3469 | 2015-04-20 |
| 1932592953 | Generations Behavioral Health LLC | Psychiatric Hospital | 4423 Forsythe Place, Nashville, TN 37205 | 2015-03-16 |
| 1497012959 | Trustpoint Hospital, LLC | Psychiatric Hospital | 1009 N. Thompson Ln, Murfreesboro, TN 37128 | 2012-04-20 |
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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.