WOODRIDGE OF WEST TENNESSEE, LLC (NPI# 1922409788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922409788 |
| Entity Type | Organization |
| Organization Name | WOODRIDGE OF WEST TENNESSEE, LLC |
| Other Organization Name | PERIMETER BEHAVIORAL HOSPITAL OF JACKSON |
| Practice Address |
49 Old Hickory Blvd Jackson TN 38305-4551 |
| Mailing Address |
2520 Northwinds Pkwy Ste 550 Alpharetta GA 30009-2236 |
| Practice Telephone | 7316685880 |
| Practice Fax Number | 7316685870 |
| Mailing Telephone | 4705547903 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | ROCHELLE GERBER (DIR. OF ADMIN. SVCS) |
| Authorized Official Telephone | 4705547903 |
| Is Organization Subpart | Y |
| Parent Organization Name | WOODRIDGE BEHAVIORAL CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | TN | Hospitals |
| Other Name | Type Code |
|---|---|
| Oak Hills Behavioral Center | Doing Business As Name - Organization |
| Perimeter Behavioral Hospital of Jackson | Doing Business As Name - Organization |
| Street Address |
49 OLD HICKORY BLVD |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285684837 | Workcare Resources Inc | Family Medicine | 49 Old Hickory Blvd, Jackson, TN 38305 | 2006-05-12 |
| 1548704620 | Shepherd Clinical Services, LLC | Internal Medicine | 49 Old Hickory Blvd, Jackson, TN 38305-4551 | 2016-12-08 |
| 1699926386 | Woodridge of Tennessee, LLC | Psychiatric Residential Treatment Facility | 49 Old Hickory Blvd, Jackson, TN 38305-4551 | 2008-10-01 |
| 1033231592 | Stephanie L Allen | Social Worker | 49 Old Hickory Blvd, Jackson, TN 38305-4551 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| 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 |
|---|---|---|---|---|
| 1972729127 | Eastern La. Mental Health System Community Homes Division | Psychiatric Hospital | 4502 Hwy. 951, Jackson, LA 70748-0498 | 2007-04-17 |
| 1043206543 | East Louisiana State Hospital | Psychiatric Hospital | 4502 Highway 951, Jackson, LA 70748-0498 | 2005-09-21 |
| 1790905545 | Eastern La. Mental Health System Community Homes Division | Psychiatric Hospital | 4502 Hwy. 951, Jackson, LA 70748-0498 | 2007-04-26 |
| 1962627364 | Eastern La. Mental Health System | Psychiatric Hospital | 4502 Hwy 951, Jackson, LA 70748 | 2007-04-13 |
| 1780789115 | Pathways of Tennessee, Inc. | Psychiatric Hospital | 238 Summar Dr, Jackson, TN 38301-3906 | 2006-09-13 |
| 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 |
| 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.