MADISON PSYCHIATRIC ASSTS P.C. NPI 1245375906

NPI Information

  • NPI: 1245375906
  • Provider Name: MADISON PSYCHIATRIC ASSTS, P.C.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 803 MEADOWLARK LN
    GOODLETTSVILLE, TN
    ZIP 37072
  • Phone: (615) 859-6414

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NPI Details

MADISON PSYCHIATRIC ASSTS, P.C. is a mental health counselor in Goodlettsville, TN. MADISON PSYCHIATRIC ASSTS, P.C. NPI is 1245375906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

803 MEADOWLARK LN
GOODLETTSVILLE, TN
ZIP 37072-307
Phone: (615) 859-6414
Fax: (615) 859-6419

The provider's authorized official is A K M Fakhruddin .
The authorized official title is President and has the following contact phone number (615) 859-6414.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13730751MEDICAIDTENNESSEE

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: 11/21/2025

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