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:
Map and Directions
Authorized official contact:
Name: Hawthorne, Caryn
Phone: (865) 541-8181

Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538339874 NPPES
Tennessee MEDICAID Q002841

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