BARRY V FORTNER (NPI# 1881621134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881621134 |
| Entity Type | Individual |
| Full Name | BARRY V FORTNER |
| Credential | PHD |
| Practice Address |
100 N Humphreys Blvd Memphis TN 38120-2146 |
| Practice Telephone | 9013229080 |
| Practice Fax Number | 9013229097 |
| Mailing Telephone | 9013229080 |
| Mailing Fax Number | 9013229097 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2365 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS TN | 4041246 | 01 |
| MS | 00124541 | 05 | |
| TN | 3981982 | 05 |
| Street Address |
100 N HUMPHREYS BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375392 | Stephen A Besh | Internal Medicine | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2005-06-10 |
| 1548889009 | Danielle Rose Haba | Physical Therapist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2020-04-14 |
| 1255950705 | Jennifer Jacobson | Occupational Therapist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2020-04-14 |
| 1083233621 | Janet Grillis | Clinic/Center | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2020-04-14 |
| 1679192207 | Morgan Henry | Occupational Therapist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2020-04-14 |
| 1417576083 | Ashland Shalon Johnson | Speech-Language Pathologist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2020-04-13 |
| 1134748700 | Lakesha Churn | Occupational Therapist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2020-04-13 |
| 1164041745 | Barbara Lynn Spence | Occupational Therapist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2020-04-13 |
| 1578114799 | Sonia Waites | Physical Therapist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2019-09-28 |
| 1700362456 | Katelyn Gayle Tansey | Occupational Therapist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916839 | Deborah Elaine Renard | Psychologist | 1834 Dearing Rd, Memphis, TN 38117-7408 | 2020-03-09 |
| 1598314007 | Christina Mae Martinez | Psychologist | 3415 Valley Park Cv, Memphis, TN 38115-4325 | 2019-09-06 |
| 1386178044 | Cherokee Health Systems | Psychologist | 2547 Frayser Blvd, Memphis, TN 38127-5829 | 2017-04-19 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1225448376 | Alison Gregg Dowd | Psychologist | 1030 Jefferson Ave # 116a4, Memphis, TN 38104-2127 | 2014-04-29 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1275830648 | Katherine Ruth Hiestand | Psychologist | 1722 Tutwiler Ave, Memphis, TN 38107-4538 | 2011-02-22 |
| 1316249956 | Trisha Marie Nash | Psychologist | 2064 Young Ave, Memphis, TN 38104-5653 | 2010-12-02 |
| 1245560978 | Jasmine Brooke Bradley | Psychologist | 1418 E Crestwood Dr, Memphis, TN 38119-6002 | 2009-12-31 |
| 1144557588 | William B Little Jr. | Psychologist | 5349 Estate Office Dr Ste 3, Memphis, TN 38119 | 2009-11-05 |
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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.