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TENNESSEE CENTER FOR BRAIN HEALTH NPI 1225682198


NPI Information

NPI: 1225682198
Provider Name: TENNESSEE CENTER FOR BRAIN HEALTH
Classification: Physical Medicine & Rehabilitation - 2081P0301X
Entity Type: Organization

Specialization: Brain Injury Medicine

CLIA Number: 44D2003661

Address:
2900 FELICIA ST STE 103
NASHVILLE, TN
ZIP 37209
Phone: (615) 450-6758
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TENNESSEE CENTER FOR BRAIN HEALTH is a brain injury medicine physical medicine rehabilitation in Nashville, TN. The provider is a Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences. TENNESSEE CENTER FOR BRAIN HEALTH NPI is 1225682198. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2900 FELICIA ST STE 103
NASHVILLE, TN
ZIP 37209-043
Phone: (615) 450-6758
Fax: (908) 282-3384

The provider's authorized official is Sravani Venkata Anjana Mehta .
The authorized official title is Co-founder and has the following contact phone number (615) 482-5535.

The CLIA number assigned to this NPI record is 44D2003661 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2019 and was last updated on 7/30/2019.


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
12081P0301XPhysical Medicine & RehabilitationBrain Injury MedicineYes

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
1Q050091MEDICAIDTENNESSEE

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

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