MCDOWELL
NPI 1780756692
Psychiatric Residential Treatment Facility in Dyersburg, TN

Active since November 15, 2006CLIA 44D2254307 · Waiver
711 HWY 51 BY-PASS, DYERSBURG, TN 38024(731) 286-2861(731) 286-2869 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mcdowell NPPES

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

MCDOWELL (NPI 1780756692) is a healthcare organization registered as a psychiatric residential treatment facility in Dyersburg, Tennessee and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Rusty Goad, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780756692
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameKEYSTONE MEMPHIS, LLC
Location Address711 HWY 51 BY-PASSDyersburg, TN 38024
Mailing Address711 Hwy 51 By-passDyersburg, TN 38024 · (731) 286-2861 · Fax (731) 286-2869
Fax(731) 286-2869
Organization SubpartNo
Authorized OfficialRusty GoadAdministrator · (731) 286-2861
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1780756692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
711 HWY 51 BY-PASS, Dyersburg, TN 38024

Other Names 1

Other NameMcdowell

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 44D2254307

Mcdowell Outpatient & Php · Dyersburg, TN
Active · expires Mar 1, 2028
CLIA Number44D2254307
Laboratory TypeOutpatient Portal
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorDavid Struble
Laboratory Phone(731) 286-2861
Laboratory LocationMcdowell Outpatient & Php103 Volunteer Blvd, Dyersburg, TN 38024
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Psychiatric Residential Treatment Facility
711 HWY 51 BY-PASS
DYERSBURG, TN 38024

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 Keystone Memphis, LLC's NPI number?

The NPI number for Keystone Memphis, LLC is 1780756692. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is also known as Mcdowell.

Where is Keystone Memphis, LLC located?

Keystone Memphis, LLC is located at 711 Hwy 51 By-Pass, Dyersburg, TN 38024. The listed phone number is (731) 286-2861.

What is Keystone Memphis, LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Keystone Memphis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2254307) is associated with this NPI, valid through March 1, 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 Keystone Memphis, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.