DR. MAX NAGLE OVERTON PHD. NPI 1255358057

NPI Information

NPI: 1255358057
Provider Name: DR. MAX NAGLE OVERTON, PHD.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
856 MIDDLE CREEK RD
SEVIERVILLE, TN
ZIP 37862
Phone: (865) 428-2193
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DR. Max Nagle Overton, PHD. is a clinical neuropsychologist in Sevierville, TN. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Max Nagle Overton, PHD. NPI is 1255358057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

856 MIDDLE CREEK RD
SEVIERVILLE, TN
ZIP 37862-035
Phone: (865) 428-2193
Fax: (865) 428-2090

The enumeration date for this NPI number is 7/16/2006 and was last updated on 7/9/2007.

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
1	103G00000X	Clinical Neuropsychologist		P0000000983	TENNESSEE	Yes
2	103TC0700X	Psychologist	Clinical	P0000000983	TENNESSEE	X

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
1	3685358	MEDICAID	TENNESSEE
2	3685358	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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