NPI 1619695178 · live from the CMS NPI Registry
Autism Support America
Psychologist, Cognitive & Behavioral in Spring Hill, TN. National Provider Identifier 1619695178, active.
NPI record
| NPI | 1619695178 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Cognitive & Behavioral 103TB0200X |
| Practice location | 9007 Safe Haven Pl, Spring Hill, TN 37174 |
| Practice phone | 615-489-9972 |
| Enumerated | August 19, 2022 |
| Last updated | August 19, 2022 |
| Authorized official | Sarah Deverna, Owner |
| Other names | Autism Support Orlando |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist | 103T00000X | — |
| Psychologist, Adult Development & Aging | 103TA0700X | — |
| Psychologist, Counseling | 103TC1900X | — |
| Psychologist, Family | 103TF0000X | — |
| Psychologist, Psychoanalysis | 103TP0814X | — |
| Social Worker | 104100000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Psychologist, Cognitive & Behavioral primary | 103TB0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.