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Contact Information

17TH AVENUE PSYCHIATRY
1503 17TH AVE S
NASHVILLE, TN37212-2805
 Phone: 615-292-1664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for 17TH AVENUE PSYCHIATRY

NPI # 1619154440
LBN Legal business name 17TH AVENUE PSYCHIATRY
Authorized official FREDERICK STARR - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2008
Last updated 01/23/2008 - About 18 years ago
Identifiers
TN License # 38217
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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