TEN BROECK TENNESSEE PHYSICIANS GROUP INC
NPI 1275155418
Clinic/Center - Adult Mental Health in Belleville, IL

Q: What is Ten Broeck Tennessee Physicians Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since May 11, 2020

45OO MEMORIAL DRIVE, BELLEVILLE, IL 62226(618) 257-5900(618) 257-5463 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ten Broeck Tennessee Physicians Group Inc NPPES

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

TEN BROECK TENNESSEE PHYSICIANS GROUP INC (NPI 1275155418), doing business as Memorial Senior Counseling Services, is a healthcare organization registered as an adult mental health in Belleville, Illinois and active in the NPI registry since May 2020. The organization maintains a secondary practice location in Vandalia and lists Glenda F Guy, Director, Compliance, as its authorized official.

NPPES Registry Identity

NPI1275155418

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameTEN BROECK TENNESSEE PHYSICIANS GROUP INC

Location Address45OO MEMORIAL DRIVEBelleville, IL 62226-5399

Mailing Address1 Medical Center BlvdCookeville, TN 38501-4294 · (931) 783-2511 · Fax (931) 783-2550

Phone(618) 257-5900

Fax(618) 257-5463

Organization SubpartYes

Authorized OfficialGlenda F GuyDirector, Compliance · (931) 783-2511

Enumeration DateMay 11, 2020

NPPES CertifiedMay 11, 2020

✔ NPI 1275155418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

45OO MEMORIAL DRIVE, Belleville, IL 62226

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Other Names 1

Doing Business AsMemorial Senior Counseling Services

Secondary Practice Location 1

Location 1802 N 8th StVandalia, IL 62471-1756 · Phone (618) 283-1731 · Fax (618) 283-0590

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 Ten Broeck Tennessee Physicians Group Inc's NPI number?

The NPI number for Ten Broeck Tennessee Physicians Group Inc is 1275155418. It was assigned to this organization in the NPPES registry on May 11, 2020. The provider is doing business as Memorial Senior Counseling Services.

Where is Ten Broeck Tennessee Physicians Group Inc located?

Ten Broeck Tennessee Physicians Group Inc is located at 45oo Memorial Drive, Belleville, IL 62226. The listed phone number is (618) 257-5900.

What is Ten Broeck Tennessee Physicians Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Ten Broeck Tennessee Physicians Group Inc was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.