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PMA SURGERY CENTER LLC NPI 1548422355


NPI Information

NPI: 1548422355
Provider Name: PMA SURGERY CENTER LLC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
101 MED TECH PKWY
SUITE 205
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 232-9420
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PMA SURGERY CENTER LLC is a psychologist in Johnson City, TN. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. PMA SURGERY CENTER LLC NPI is 1548422355. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 MED TECH PKWY
SUITE 205
JOHNSON CITY, TN
ZIP 37604-007
Phone: (423) 232-9420
Fax: (423) 232-9425

The provider's authorized official is William Turney Williams .
The authorized official title is Medical Director and has the following contact phone number (423) 232-6120.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 7/2/2008.


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
1103T00000XPsychologistYes

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
1702040581OTHERCARITEN
2604059200OTHERUS DEPT OF LABOR
33288982MEDICAIDTENNESSEE
44097786OTHERBLUE CROSS BLUE SHIELD
50007949702OTHERTENNESSEEAETNA
6TN010OTHERUNITED HEALTHCARE OF THE NEW RIVER VALLEY
73288982MEDICARE PIN
8100048318OTHERTENNESSEEPHP TENNCARE
9P00188946OTHERMEDICARE RAILROAD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.