MOUNTAIN STATES HEALTH ALLIANCE OUT-PATIENT BEHAVIORAL HEALTH
NPI 1083936033
Psychologist - Health Service in Kingsport, TN

Q: What is Mountain States Health Alliance Out-Patient Behavioral Health's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Active since February 18, 2010

2012 BROOKSIDE DR, KINGSPORT, TN 37660(423) 857-5566(423) 857-5564 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mountain States Health Alliance Out-patient Behavioral Health NPPES

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

MOUNTAIN STATES HEALTH ALLIANCE OUT-PATIENT BEHAVIORAL HEALTH (NPI 1083936033) is a healthcare organization registered as a health service in Kingsport, Tennessee and active in the NPI registry since February 2010. The organization lists Graciela Pereira, Avp Behavioral Health And Rehab Ser, as its authorized official.

NPPES Registry Identity

NPI1083936033

Entity TypeOrganization

Primary Taxonomy103TH0100X

Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE OUT-PATIENT BEHAVIORAL HEALTH

Location Address2012 BROOKSIDE DRKingsport, TN 37660-4645

Mailing Address1021 W Oakland Ave, Suite 207Johnson City, TN 37604-2191 · (423) 952-3104 · Fax (423) 952-3109

Phone(423) 857-5566

Fax(423) 857-5564

Organization SubpartNo

Authorized OfficialGraciela PereiraAvp Behavioral Health And Rehab Ser · (423) 952-1701

Enumeration DateFebruary 18, 2010

✔ NPI 1083936033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

2012 BROOKSIDE DR, Kingsport, TN 37660

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MS. LESLEY ANN JONES MD

Family Medicine

2012 BROOKSIDE DR, STE 6
KINGSPORT, TN 37660

Sullivan County (423) 247-0462

DR. JOE HOWARD OWENS D.P.M.

Podiatrist

2012 BROOKSIDE DR, SUITE 9
KINGSPORT, TN 37660

Sullivan County (423) 392-6430

BLUE RIDGE NEUROLOGY ASSOCIATES P.C.

Specialist

2012 BROOKSIDE DR, STE. 8
KINGSPORT, TN 37660

Sullivan County (423) 224-4183

KINGSPORT PLASTIC SURGERY, PC

Surgery (Plastic and Reconstructive Surgery)

2012 BROOKSIDE DR, SUITE 1
KINGSPORT, TN 37660

Sullivan County (423) 245-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain States Health Alliance Out-Patient Behavioral Health's NPI number?

The NPI number for Mountain States Health Alliance Out-Patient Behavioral Health is 1083936033. It was assigned to this organization in the NPPES registry on February 18, 2010.

Where is Mountain States Health Alliance Out-Patient Behavioral Health located?

Mountain States Health Alliance Out-Patient Behavioral Health is located at 2012 Brookside Dr, Kingsport, TN 37660. The listed phone number is (423) 857-5566.

What is Mountain States Health Alliance Out-Patient Behavioral Health's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance Out-Patient Behavioral Health was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.