VANDERBILT COMMUNITY MENTAL HEALTH CENTER (NPI# 1619040813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619040813 |
| Entity Type | Organization |
| Organization Name | VANDERBILT COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
1601 23rd Ave S 3rd Floor Nashville TN 37212-3133 |
| Mailing Address |
2408 14th Ave N Nashville TN 37208-1164 |
| Practice Telephone | 6155322052 |
| Mailing Telephone | 6152448066 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. GENORRIS LATRISE CRAWFORD-CLARK (MENTAL HEALTH CLINICIAN) |
| Authorized Official Telephone | 6155322052 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992870125 | Vanderbilt Community Mental Health Center | Psychiatric Hospital | 1601 23rd Ave S Fl 3, Nashville, TN 37212-3133 | 2006-11-22 |
| 1326114299 | Vanderbilt Community Mental Health Center | Psychiatric Hospital | 1601 23rd Ave S Fl 3, Nashville, TN 37212-3133 | 2006-11-24 |
| Street Address |
1601 23RD AVE S 3RD FLOOR |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37212-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437160272 | Michael George | Social Worker | 1601 23rd Ave S, 3rd Floor, Nashville, TN 37212-3133 | 2006-08-10 |
| 1417566639 | Mark Stuart Voyles | Social Worker | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2020-07-23 |
| 1760003636 | Kimberly L Miller | Social Worker | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2020-05-02 |
| 1538788211 | Kalli Ann Burdick | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2020-04-13 |
| 1124647870 | Joshua Vadin Streicher | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2020-04-13 |
| 1558980508 | Tami Feng | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2020-04-10 |
| 1063057933 | Kandace Arlaud | Registered Nurse | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2019-11-14 |
| 1558919506 | Hunter Brittingham | Registered Nurse | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2019-09-03 |
| 1679136386 | Barrington James Hwang | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2019-04-18 |
| 1992268494 | Katherin Sudol | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2019-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
| 1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
| 1417482449 | Elise Stephenson Scott | Student in an Organized Health Care Education/Training Program | 1601 21st Avenue South, Room 3106, Nashville, TN 37212 | 2017-04-27 |
| 1851848410 | Tracy Wehby | Nurse Practitioner | 2323 21st Ave S 3rd Floor, Nashville, TN 37212 | 2016-09-01 |
| 1821544578 | Lisa Malone | Acupuncturist | 1615 Horton Ave, Nashville, TN 37212 | 2016-08-31 |
| 1568836518 | Anna Ezell | Social Worker | 1414 17th Ave S, Nashville, TN 37212 | 2015-11-13 |
| 1427437789 | Ryan Castoro | Physical Medicine & Rehabilitation | 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 | 2015-05-20 |
| 1730567900 | Khushbu Shah | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S Rm 3106, Nashville, TN 37212 | 2015-05-08 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
| Find all providers in zip 37212 | ||||
| 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 |
| 1932592953 | Generations Behavioral Health LLC | Psychiatric Hospital | 4423 Forsythe Place, Nashville, TN 37205 | 2015-03-16 |
| 1861675647 | River Region Hospital | Psychiatric Hospital | 49 Music Sq W, Suite 502, Nashville, TN 37203-3213 | 2007-12-14 |
| 1992870125 | Vanderbilt Community Mental Health Center | Psychiatric Hospital | 1601 23rd Ave S Fl 3, Nashville, TN 37212-3133 | 2006-11-22 |
| 1992253389 | Vanderbilt Psychiatric Hospital | Psychiatric Hospital | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2016-09-14 |
| 1255577227 | Vanderbilt Psychiatric Hospital, LLC | Psychiatric Hospital | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2008-12-22 |
| 1194869297 | State of Tennessee State F&a Payroll | Psychiatric Hospital | 221 Stewarts Ferry Pike, Nashville, TN 37214 | 2007-02-20 |
| 1558408633 | Vanderbilt University Medical Center | Psychiatric Hospital | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2007-01-30 |
| 1992860910 | Saint Thomas West Hospital | Psychiatric Hospital | 4220 Harding Pike, Nashville, TN 37205-2005 | 2006-12-27 |
| 1326114299 | Vanderbilt Community Mental Health Center | Psychiatric Hospital | 1601 23rd Ave S Fl 3, Nashville, TN 37212-3133 | 2006-11-24 |
| Find all providers in NASHVILLE | ||||
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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.