East Tennessee Children'S Hospital Pediatric Psychology
LBN: East Tennessee Children'S Hospital Association Inc.
East Tennessee Children'S Hospital Pediatric Psychology is an health care organization with primary practice located at 2100 Clinch Avenue Suite 220 , Knoxville TN 37916-2298. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty.
East Tennessee Children'S Hospital Association Inc. can be contacted via phone (865) 343-6976, or through Hawthorne, Caryn via phone (865) 541-8181.
Contact Information
Primary practice address
2100 Clinch Avenue Suite 220
Knoxville TN 37916-2298
Phone: (865) 343-6976
Fax: (877) 554-2891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1538339874 |
|---|---|
| LBN Legal business name | East Tennessee Children'S Hospital Association Inc. |
| DBA Doing business as | East Tennessee Children'S Hospital Pediatric Psychology |
| Authorized official | Hawthorne, Caryn |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 3rd, 2008 |
| Last updated | May 27th, 2024 - about 4 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538339874 | NPPES |
| Tennessee | MEDICAID | Q002841 |
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