MID SOUTH PSYCHIATRIC ASSOCIATES (NPI# 1013109511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013109511 |
| Entity Type | Organization |
| Organization Name | MID SOUTH PSYCHIATRIC ASSOCIATES |
| Practice Address |
1830 Heritage Park Plz Murfreesboro TN 37129-1575 |
| Practice Telephone | 6158958104 |
| Practice Fax Number | 6158957903 |
| Mailing Telephone | 6158958104 |
| Mailing Fax Number | 6158957903 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |
| Authorized Official Name | AHMED I FAROOQUE (PARTNER) |
| Authorized Official Telephone | 6158958104 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
MD0000018343 | TN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
4196 | TN | Behavioral Health & Social Service Providers |
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
MD0000020287 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1558479170 | 01 | |
| TN | 3706880 | 05 | |
| NPI | 1861608895 | 01 | |
| NPI | 1922116649 | 01 |
| Street Address |
1830 HERITAGE PARK PLZ |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922116649 | Ravi Prakash Singh | Psychiatry & Neurology | 1830 Heritage Park Plz, Murfreesboro, TN 37129-1575 | 2006-08-25 |
| 1457514606 | Tara Downs | Social Worker | 1830 Heritage Park Plz, Murfreesboro, TN 37129-1575 | 2008-07-08 |
| 1558479170 | Ahmed I Farooque | Psychiatry & Neurology | 1830 Heritage Park Plz, Murfreesboro, TN 37129-1575 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902026974 | Deborah Ennis Doineau | Psychologist | 2120 Crestmoor Rd Ste 3011, Nashville, TN 37215-2613 | 2007-05-01 |
| 1548821291 | Morgan Elizabeth Morgan | Psychologist | 915 Mcclardy Rd, Clarksville, TN 37042-6734 | 2019-06-24 |
| 1184107773 | Power of Three Psychiatry | Psychologist | 305 Westfield Rd, Knoxville, TN 37919-4824 | 2018-09-11 |
| 1215468467 | Hendrick Counseling Services, Inc | Psychologist | 440 Park Ave, Lebanon, TN 37087-3664 | 2017-03-21 |
| 1558796102 | Novo Healthcare, LLC | Psychologist | 223 Madison St, Suite 103, Madison, TN 37115-3665 | 2013-09-13 |
| 1689888935 | Teresa F. Cutts | Psychologist | 718 Harbor Bend Rd, Memphis, TN 38103-0888 | 2007-05-09 |
| 1346460136 | Dee Langford | Psychologist | 735 E 10th St, Chattanooga, TN 37403-2917 | 2007-04-26 |
| City | MURFREESBORO |
| Zip Code | 37129 |
Please comment or provide details below to improve the information on MID SOUTH PSYCHIATRIC ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.