CLINICAL AND FORENSIC PSYCHOLOGY PROFESSIONAL LLC
NPI 1407333842
Psychologist - Clinical in Dickson, TN
About Clinical And Forensic Psychology Professional Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICAL AND FORENSIC PSYCHOLOGY PROFESSIONAL LLC (NPI 1407333842) is a healthcare organization registered as a clinical in Dickson, Tennessee and active in the NPI registry since July 2018. The organization lists Kendra Davis, Credentialing Coodinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clinical And Forensic Psychology Professional Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinical And Forensic Psychology Professional LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clinical And Forensic Psychology Professional LLC's NPI number?
The NPI number for Clinical And Forensic Psychology Professional LLC is 1407333842. It was assigned to this organization in the NPPES registry on July 27, 2018.
Where is Clinical And Forensic Psychology Professional LLC located?
Clinical And Forensic Psychology Professional LLC is located at 812 N Charlotte St, Dickson, TN 37055. The listed phone number is (615) 446-8046.
What is Clinical And Forensic Psychology Professional LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Clinical And Forensic Psychology Professional LLC enrolled in Medicare?
Yes. Clinical And Forensic Psychology Professional LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clinical And Forensic Psychology Professional LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Clinical And Forensic Psychology Professional LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clinical And Forensic Psychology Professional LLC was last updated on July 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Clinical And Forensic Psychology Professional Llc · NPI 1407333842
Clinical organization in Dickson, Tennessee. Organization record, active in the CMS NPPES registry since July 27, 2018.
## Identity
- **NPI:** 1407333842 (Entity type: Organization)
- **Enumerated:** July 27, 2018
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Kendra Davis, CREDENTIALING COODINATOR
## Practice location
- **Address:** 812 N CHARLOTTE ST, Dickson, TN 37055-1009
- **Phone:** (615) 446-8046
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1407333842) · Data from the CMS NPPES public registry.