NPI 1073674552 · live from the CMS NPI Registry
Behavioral Medicine Institute PC
Psychologist, Clinical in Knoxville, TN. National Provider Identifier 1073674552, active.
NPI record
| NPI | 1073674552 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2607 Kingston Pike Ste 250, Knoxville, TN 37919 |
| Practice phone | 865-264-2400 |
| Enumerated | December 12, 2006 |
| Last updated | October 16, 2023 |
| Authorized official | C Hulse, Ceo/President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | P1818 (TN) |
| Psychologist, Clinical | 103TC0700X | P2497 (TN) |
| Psychologist, Clinical | 103TC0700X | P0873 (TN) |
| Social Worker, Clinical | 1041C0700X | LSW673 (TN) |
| Social Worker, Clinical | 1041C0700X | LSW1229 (TN) |
| Psychologist, Clinical primary | 103TC0700X | p1235 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.