Provider Type Icon

STONES RIVER PSYCHIATRIC GROUP PC NPI 1619903895


NPI Information

NPI: 1619903895
Provider Name: STONES RIVER PSYCHIATRIC GROUP PC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 44D2016232

Address:
1024 N HIGHLAND AVE
SUITE B
MURFREESBORO, TN
ZIP 37130
Phone: (615) 893-8755
Get Directions

STONES RIVER PSYCHIATRIC GROUP PC is a psychiatry psychiatry neurology in Murfreesboro, TN. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. STONES RIVER PSYCHIATRIC GROUP PC NPI is 1619903895. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1024 N HIGHLAND AVE
SUITE B
MURFREESBORO, TN
ZIP 37130-443
Phone: (615) 893-8755
Fax: (615) 893-8732

The provider's authorized official is Shipra M Putatunda .
The authorized official title is Owner and has the following contact phone number (615) 893-8755.

The CLIA number assigned to this NPI record is 44D2016232 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/23/2006 and was last updated on 9/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryMD0000025786TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13065691OTHERTENNESSEEBCBS
23088135MEDICAIDTENNESSEE
33088135MEDICARE PINTENNESSEE
43088135MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.