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Contact Information

JAMES J STAUDENMEIER, M.D., MPH
243 DOVER RD
CLARKSVILLE, TN37042-4155
 Phone: 931-905-4646
 Fax: 833-278-1934
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JAMES J STAUDENMEIER · (Male)

NPI Number 1174514657
Status Active
Credentials M.D., MPH
Entity Individual
Enumeration date 11/02/2005
Last updated 03/05/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 46702
  • MO License # 2013022890
  • AR Medicaid 210425001
  • KY Medicaid 7100344430
  • MO Medicaid 1174514657
  • TN Medicaid Q037630
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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