STEWART PSYCHIATRIC ASSOCIATES NPI 1528555182

NPI Information

NPI: 1528555182
Provider Name: STEWART PSYCHIATRIC ASSOCIATES
Classification: Registered Nurse - 163WP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 44D2166844

Address:
8316 MACON TER STE 103
CORDOVA, TN
ZIP 38018
Phone: (901) 791-2892
Get Directions

STEWART PSYCHIATRIC ASSOCIATES is a psychiatric/mental health registered nurse in Cordova, TN. STEWART PSYCHIATRIC ASSOCIATES NPI is 1528555182. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8316 MACON TER STE 103
CORDOVA, TN
ZIP 38018-505
Phone: (901) 791-2892
Fax: (901) 791-4872

The provider's authorized official is Kristin Stewart .
The authorized official title is Owner and has the following contact phone number (901) 570-1888.

The CLIA number assigned to this NPI record is 44D2166844 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2018 and was last updated on 3/4/2024.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	21943	TENNESSEE	Yes

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	21943	OTHER	TENNESSEE	LICENSE 21943

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

NPI Synchronization or Removal

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