JOHN B. AVERITT PH.D. LICENSED PSYCHOLOGIST NPI 1538568985

NPI Information

  • NPI: 1538568985
  • Provider Name: JOHN B. AVERITT, PH.D., LICENSED PSYCHOLOGIST
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 100 W 4TH ST
    SUITE 300
    COOKEVILLE, TN
    ZIP 38501
  • Phone: (931) 526-2722

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NPI Details

JOHN B. AVERITT, PH.D., LICENSED PSYCHOLOGIST is an adult mental health clinic center in Cookeville, TN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. JOHN B. AVERITT, PH.D., LICENSED PSYCHOLOGIST NPI is 1538568985. The provider is registered as an organization entity type.

The provider's business location address is:

100 W 4TH ST
SUITE 300
COOKEVILLE, TN
ZIP 38501-448
Phone: (931) 526-2722
Fax: (931) 526-6478

The provider's authorized official is John Barry Averitt .
The authorized official title is Licensed Psychologist and has the following contact phone number (931) 526-2722.

The enumeration date for this NPI number is 8/21/2014 and was last updated on 8/21/2014.

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
1261QM0850XClinic/CenterAdult Mental HealthP1360TENNESSEEYes

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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