MR. GEORGE HENRY BERCAW (NPI# 1851692099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851692099 |
| Entity Type | Individual |
| Full Name | MR. GEORGE HENRY BERCAW |
| Credential | M.A. |
| Practice Address |
1145 N Concord Rd Chattanooga TN 37421-3848 |
| Mailing Address |
1145 North Concord Rd Chattanooga TN 37421-3848 |
| Practice Telephone | 4233091798 |
| Practice Fax Number | 4238933374 |
| Mailing Telephone | 4233091798 |
| Mailing Fax Number | 4238930374 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PE0000000322 | TN | Behavioral Health & Social Service Providers |
| Street Address |
1145 N CONCORD RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699059550 | David Jamison Mcdowell | Psychologist | 3097 S. Broad St., Chattanooga, TN 37408 | 2011-10-10 |
| 1023347838 | Mind Matters, LLC | Psychologist | 3146 Broad St, Chattanooga, TN 37408-3095 | 2009-12-08 |
| 1437357456 | Gaston Therapy, LLC | Psychologist | 112 Jordan Dr, Chattanooga, TN 37421-6802 | 2007-07-11 |
| 1518183334 | Mark A Womack | Psychologist | 5340 Ringgold Rd Ste 100, Chattanooga, TN 37412-3194 | 2007-04-18 |
| 1063557106 | David John Caye | Psychologist | 1504a Mccallie Avenue, Chattanooga, TN 37404-0000 | 2007-02-20 |
| 1992850408 | Kimberlee Caroline Berry-sawyer | Psychologist | 3209 Ozark Cir, Chattanooga, TN 37415-5107 | 2007-01-24 |
| 1598814394 | Michael Kavkewitz | Psychologist | 6727 Heritage Business Ct, Suite 724, Chattanooga, TN 37421-7015 | 2007-01-09 |
| 1396809984 | William Alan Wray | Psychologist | 325 Market Street, Suite 305, Chattanooga, TN 37402-1247 | 2006-12-20 |
| 1316032634 | Carolyn E Davidson | Psychologist | 5751 Uptain Road, Suite 509, Chattanooga, TN 37411 | 2006-10-03 |
| 1134109788 | Linwood Alan Robertson | Psychologist | 4312 South Ter, Chattanooga, TN 37412-2904 | 2006-01-19 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on MR. GEORGE HENRY BERCAW.
| 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.