MENTAL HEALTH CENTERS & CLINICS OF TENNESSEE (NPI# 1861790131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861790131 |
Entity Type | Organization |
Organization Name | MENTAL HEALTH CENTERS & CLINICS OF TENNESSEE |
Other Organization Name | FORTWOOD CENTER |
Practice Address |
1028 E 3rd St Chattanooga TN 37403-2107 |
Practice Telephone | 4232666751 |
Practice Fax Number | 4237634650 |
Mailing Telephone | 4232666751 |
Mailing Fax Number | 4237634650 |
Enumeration Date | 2011-03-10 |
Last Update Date | 2011-03-10 |
Authorized Official Name | MR. H. EARL MEDLEY (PRESIDENT/CEO) |
Authorized Official Telephone | 4232666751 |
Authorized Official Credential | LMSW/ACSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Fortwood Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790811149 | Mental Health Centers & Clinics of Tennessee | Clinic/Center | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-02-27 |
1881763126 | Mental Health Centers & Clinics of Tennessee | Pharmacy | 2018 Western Ave, Knoxville, TN 37921-5718 | 2006-11-08 |
1841397783 | Mental Health Centers & Clinics of Tennessee | Pharmacy | 501 Adessa Pkwy, Ste A150, Lenoir City, TN 37771-6725 | 2006-09-20 |
1255442794 | Mental Health Centers & Clinics of Tennessee | Non-emergency Medical Transport (VAN) | 10710 Old Highway 64, Bolivar, TN 38008-3587 | 2006-08-31 |
Street Address |
1028 E 3RD ST |
City | CHATTANOOGA |
State | TN |
Zip Code | 37403-2107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588750640 | Angelina A Supan | Psychiatry & Neurology | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2006-10-05 |
1770737306 | Misty D. Ratchford | Registered Nurse | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2008-11-10 |
1033381272 | Elizabeth Irene Covington | Counselor | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2008-03-27 |
1912190794 | Daniel L. Doresk | Counselor | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-08-24 |
1790975084 | Kristen L. Adams | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-08-01 |
1770773285 | Kristen L. Loggins | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-31 |
1992995401 | Michael A. Fernandez | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-31 |
1326247719 | Rachel W. Parrish | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-16 |
1497954499 | Dianna S. Andrews | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-11 |
1891990933 | Anna W. Fairweather | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-06-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
Find all providers in zip 37403 |
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 |
---|---|---|---|---|
1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
1609398312 | Advanced Behavioral-emotional Care Services, LLC. | Community/Behavioral Health | 200 W Ml King Blvd Ste 1000, Chattanooga, TN 37402-2571 | 2017-07-13 |
1992184634 | Tyronda Wilkerson | Community/Behavioral Health | 621 Memorial Dr Apt 1903, Chattanooga, TN 37415-5528 | 2015-05-27 |
1316343650 | Caring Hands & Open Hearts, LLC | Community/Behavioral Health | 5751 Uptain Rd Ste 105, Chattanooga, TN 37411-5671 | 2014-11-14 |
1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
1467708594 | Ctr. for Individ. & Family Effectiveness | Community/Behavioral Health | 2441 Broad St., Ste. 150, Chattanooga, TN 37408 | 2012-07-26 |
1609196799 | Hamilton County Health Dept | Community/Behavioral Health | 921 E Third St, Chattanooga, TN 37403 | 2010-06-11 |
1912134057 | Fortwood Center, Inc. | Community/Behavioral Health | 1400 Bailey Ave, Chattanooga, TN 37404-2903 | 2009-06-16 |
1881821056 | Fortwood Center, Inc. | Community/Behavioral Health | 1411 Bailey Ave, Chattanooga, TN 37404-2904 | 2009-06-16 |
1366679409 | Fortwood Center, Inc. | Community/Behavioral Health | 1508 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2009-06-16 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37403 |
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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.