MID SOUTH PSYCHIATRIC ASSOCIATES - NPI 1013109511 - Psychologist in Murfreesboro, TN

Q: What is Mid South Psychiatric Associates's NPI number?

The NPI number for Mid South Psychiatric Associates is 1013109511. It was assigned to this organization in the NPPES registry on August 17, 2007.

Q: What is Mid South Psychiatric Associates's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

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About Mid South Psychiatric Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID SOUTH PSYCHIATRIC ASSOCIATES (NPI 1013109511) is a healthcare organization registered as a prescribing (medical) in Murfreesboro, Tennessee and active in the NPI registry since August 2007. The organization lists Ahmed I Farooque, Partner, as its authorized official.

NPPES Registry Identity

NPI1013109511

Entity TypeOrganization

Primary Taxonomy103TP0016X

Legal Business NameMID SOUTH PSYCHIATRIC ASSOCIATES

Location Address1830 HERITAGE PARK PLZMurfreesboro, TN 37129-1575

Mailing Address1830 Heritage Park PlzMurfreesboro, TN 37129-1575 · (615) 895-8104 · Fax (615) 895-7903

Phone(615) 895-8104

Fax(615) 895-7903

Organization SubpartNo

Authorized OfficialAhmed I FarooquePartner · (615) 895-8104

Enumeration DateAugust 17, 2007

✔ NPI 1013109511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

Licenses✔ Licensed in TN · MD0000020287✔ Licensed in TN · MD0000018343

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 4196 (TN)

1830 HERITAGE PARK PLZ, Murfreesboro, TN 37129

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Other Identifiers 9

Other1861608895Npi

Other1922116649Npi

Medicaid3706880TN

Medicare UPINF02951

Medicare PIN3057874

Medicare PIN3064118

Medicare UPINE74183

Other1558479170Npi

Medicare PIN3924727

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY MICHELLE KEITH MD

Surgery (Surgical Oncology)