BLACK HOLDINGS GROUP,LLC (NPI# 1568861037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568861037 |
| Entity Type | Organization |
| Organization Name | BLACK HOLDINGS GROUP,LLC |
| Practice Address |
8000 Centerview Pkwy Suite 104 Cordova TN 38018-4227 |
| Mailing Address |
Po Box 38175 Germantown TN 38183-0175 |
| Practice Telephone | 9017556280 |
| Practice Fax Number | 9017557897 |
| Mailing Telephone | 9017556280 |
| Mailing Fax Number | 9017557897 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |
| Authorized Official Name | DR. AUDRIA KAYE BLACK (PHYSICIAN) |
| Authorized Official Telephone | 9017556280 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
36627 | TN | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
36627 | TN | Ambulatory Health Care Facilities |
| Street Address |
8000 CENTERVIEW PKWY SUITE 104 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681070 | Carlos E Rivera-tavarez | Physical Medicine & Rehabilitation | 8000 Centerview Pkwy, Cordova, TN 38018-4227 | 2005-10-03 |
| 1174078067 | Wesley Neurology Clinic, PC | Clinic/Center | 8000 Centerview Pkwy, Suite 101, Cordova, TN 38018-4227 | 2016-08-20 |
| 1811340722 | Wesley Neurology Clinic, PC | Clinic/Center | 8000 Centerview Pkwy, Suite 305 & 101, Cordova, TN 38018-4227 | 2016-07-14 |
| 1497148704 | Sleep Doctors of Memphis | Internal Medicine | 8000 Centerview Pkwy, Suite 115, Cordova, TN 38018-4227 | 2015-03-11 |
| 1144533712 | Sarah D. Richie | Clinical Neuropsychologist | 8000 Centerview Pkwy, Suite 103, Cordova, TN 38018-4227 | 2010-07-23 |
| 1215240890 | Memphis Neuropsychology LLC | Clinical Neuropsychologist | 8000 Centerview Pkwy, Suite 103, Cordova, TN 38018-4227 | 2010-07-23 |
| 1871713537 | David Lanier Pritchard | Psychiatry & Neurology | 8000 Centerview Pkwy, #300, Cordova, TN 38018-4227 | 2007-04-26 |
| 1376760439 | Cara Beth Pendley | Psychiatry & Neurology | 8000 Centerview Pkwy, Suite 300, Cordova, TN 38018-4227 | 2007-04-19 |
| 1477621209 | Robert Henry Segal | Specialist | 8000 Centerview Pkwy, Suite 300, Cordova, TN 38018-4227 | 2006-12-01 |
| 1376569210 | Douglas Todd Cannon | Physical Medicine & Rehabilitation | 8000 Centerview Pkwy, Suite 500, Cordova, TN 38018-4227 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1427661941 | A Hope and A Future, Inc. | Clinic/Center | 2932 Altruria Rd, Bartlett, TN 38134-3862 | 2020-08-25 |
| 1972120426 | Joybridge LLC | Clinic/Center | 1018 Gateway Ln, Nashville, TN 37220-1006 | 2020-07-01 |
| 1235773748 | Counseling and Forensic Services | Clinic/Center | 481 Leeper Pkwy Ste 6&7, Lenoir City, TN 37772-6174 | 2019-10-29 |
| 1730425240 | Cresco Care LLC | Clinic/Center | 9465 Homewood Cir, Ooltewah, TN 37363-5105 | 2013-01-02 |
| 1174804421 | Behavioral Insights | Clinic/Center | 6216 Lonas Dr, Knoxville, TN 37909-3235 | 2011-08-31 |
| 1235298720 | Frontier Health | Clinic/Center | 1003 N Broadway St, Johnson City, TN 37601-2722 | 2006-12-08 |
| 1265509137 | New Beginnings Counseling Center Pllc | Clinic/Center | One Northgate Pk, Ste 201, Chattanooga, TN 37415 | 2006-11-29 |
| 1326147331 | Upper East Tn Regional Juvenile Detention Center | Clinic/Center | 307 Wesley St, Johnson City, TN 37601-1721 | 2006-09-22 |
| 1487666806 | Psychiatric Services, Inc. | Clinic/Center | 108 Glenleigh Ct, Suite 2, Knoxville, TN 37934-3038 | 2006-08-13 |
| 1497362883 | Next Level Counseling, Pllc | Clinic/Center | 1716 Memorial Dr, Clarksville, TN 37043-4542 | 2020-09-29 |
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| 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.