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

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

On this page

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.

JENNIFER CARMICHAEL

Nurse Practitioner (Family)