ADULT AND GERIATRIC PSYCHIATRY SERVICE (NPI# 1053650200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053650200 |
| Entity Type | Organization |
| Organization Name | ADULT AND GERIATRIC PSYCHIATRY SERVICE |
| Practice Address |
1618 Strawberry Ln Johnson City TN 37604-7700 |
| Mailing Address |
101 Med Tech Pkwy Ste 407 Johnson City TN 37604-4000 |
| Practice Telephone | 4236776787 |
| Mailing Telephone | 4232838801 |
| Mailing Fax Number | 4232824533 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |
| Authorized Official Name | DR. FERNANDO BENDFELDT (PHYSICIAN) |
| Authorized Official Telephone | 4232838801 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD19195 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1618 STRAWBERRY LN |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730504754 | Southern Psychiatric Services | Psychiatry & Neurology | 216 North Cross Street, Oneida, TN 37841 | 2014-02-27 |
| 1942518642 | Asana Integrated Medical Group | Psychiatry & Neurology | 106 New Bedford Ln, Oak Ridge, TN 37830-8289 | 2010-09-16 |
| 1619207958 | William A. Rafuls, Md, Inc. | Psychiatry & Neurology | 2158 Northgate Park Ln Ste 220, Chattanooga, TN 37415-6959 | 2010-01-08 |
| 1831360866 | Panacea Psychiatric Center Plc | Psychiatry & Neurology | 5651 Frist Blvd Ste 701, Hermitage, TN 37076-2061 | 2008-03-18 |
| 1588934673 | Amg-hillside, LLC | Psychiatry & Neurology | 1265 E College St, Pulaski, TN 38478-4541 | 2012-01-05 |
| 1093092066 | James R. Mcferrin, Md, PC | Psychiatry & Neurology | 2011 Ashwood Ave, Nashville, TN 37212-5015 | 2011-11-04 |
| 1992087399 | New Perspectives Psychiatry Pllc | Psychiatry & Neurology | 3549 Norriswood Ave, Memphis, TN 38111-5911 | 2011-09-13 |
| 1215172473 | Meredith C. Walgren | Psychiatry & Neurology | 2300 Patterson St, Nashville, TN 37203-1538 | 2008-12-02 |
| 1619149739 | Symed Nc, LLC | Psychiatry & Neurology | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2008-03-28 |
| 1427187517 | Symed, LLC | Psychiatry & Neurology | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2007-03-05 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on ADULT AND GERIATRIC PSYCHIATRY SERVICE.
| 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.