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PAIN MEDICINE ASSOCIATES P.C. NPI 1962655696


NPI Information

NPI: 1962655696
Provider Name: PAIN MEDICINE ASSOCIATES, P.C.
Classification: Psychologist - 103T00000X
Entity Type: Organization

CLIA Number: 44D2226050

Address:
101 MED TECH PKWY
SUITE 200
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 232-6120
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PAIN MEDICINE ASSOCIATES, P.C. is a psychologist in Johnson City, TN. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. PAIN MEDICINE ASSOCIATES, P.C. NPI is 1962655696. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

101 MED TECH PKWY
SUITE 200
JOHNSON CITY, TN
ZIP 37604-007
Phone: (423) 232-6120
Fax: (423) 232-6125

The provider's authorized official is Tracy Bays .
The authorized official title is Office Manager and has the following contact phone number (423) 232-6120.

The CLIA number assigned to this NPI record is 44D2226050 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 10/28/2008.


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
1103T00000XPsychologist1084TENNESSEEYes

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
1146990OTHERTENNESSEEANTHEM VA - BRISTOL
2146991OTHERTENNESSEEANTHEM VA - KPT
33715213MEDICAIDTENNESSEE
43715213MEDICARE PINTENNESSEE
5134016XXOTHERTENNESSEEPREFERRED CARE
6CG3754OTHERTENNESSEEMEDICARE RAILROAD
7373941500OTHERTENNESSEEDEPT OF LABOR

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: 4/28/2024

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.