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BLUES CITY PSYCHIATRY, PLLC
NPI 1750696340
Psychiatry & Neurology - Psychiatry in Cordova, TN

Active since August 09, 2010CLIA 44D2040629 · Waiver
8336 MACON RD, CORDOVA, TN 38018(901) 682-3035(901) 628-3049 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2024, Apr 19, 2018 (2 updates tracked since 2018).

About Blues City Psychiatry, Pllc NPPES

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

BLUES CITY PSYCHIATRY, PLLC (NPI 1750696340) is a healthcare organization registered as a psychiatry in Cordova, Tennessee and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Shubi R Mukatira, Owner, as its authorized official.

NPPES Registry Identity

NPI1750696340
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameBLUES CITY PSYCHIATRY, PLLC
Location Address8336 MACON RDCordova, TN 38018-8554
Mailing Address1138 N Germantown Pkwy, Suite 101-110Cordova, TN 38016-5872 · (901) 737-1992 · Fax (901) 309-8784
Phone(901) 682-3035
Fax(901) 628-3049
Organization SubpartNo
Authorized OfficialShubi R MukatiraOwner · (901) 737-1992
Enumeration DateAugust 9, 2010
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1750696340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TN · 42712
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
8336 MACON RD, Cordova, TN 38018
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2040629

Blues City Psychiatry PLLC · Cordova, TN
Active · expires May 6, 2028
CLIA Number44D2040629
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorShubi Mukatira
Laboratory Phone(901) 682-3035
Laboratory LocationBlues City Psychiatry PLLC8336 Macon Road, Cordova, TN 38018
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

AIMEE KRISTINE SANDOVAL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
8336 MACON RD
CORDOVA, TN 38018
Shelby County (901) 682-3035
KATIE KOMADA LMSW
Social Worker (Clinical)
8336 MACON RD
CORDOVA, TN 38018
Shelby County (901) 625-1438
LASHEA SHAW MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
8336 MACON RD
CORDOVA, TN 38018
Shelby County (901) 682-3035
MADI WILHELMY I
Counselor (Mental Health)
8336 MACON RD
CORDOVA, TN 38018
Shelby County (901) 682-3035
CAITLIN JANE HARRELL
Nurse Practitioner (Psychiatric/Mental Health)
8336 MACON RD
CORDOVA, TN 38018
Shelby County (901) 682-3035
MS. TIFFANY JEANETTE PULLIAM LPC-MHSP
Counselor (Professional)
8336 MACON RD
CORDOVA, TN 38018
Shelby County (901) 682-3035
DR. SHUBI ADYA SHAKTI M.D.
Psychiatry & Neurology (Psychiatry)
8336 MACON RD
CORDOVA, TN 38018
Shelby County (901) 682-3035
KIMBERLY H RICKELS LCSW
Social Worker (Clinical)
8336 MACON RD
CORDOVA, TN 38018
Shelby County (901) 682-3035

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 Blues City Psychiatry, PLLC's NPI number?

The NPI number for Blues City Psychiatry, PLLC is 1750696340. It was assigned to this organization in the NPPES registry on August 9, 2010.

Where is Blues City Psychiatry, PLLC located?

Blues City Psychiatry, PLLC is located at 8336 Macon Rd, Cordova, TN 38018. The listed phone number is (901) 682-3035.

What is Blues City Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Blues City Psychiatry, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2040629) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blues City Psychiatry, PLLC was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.