| Clarvida | |
|
446 James Robertson Pkwy Ste 201 Nashville TN 37219-1533 | |
| (615) 370-4228 | |
| (615) 370-4959 |
| Full Name | Clarvida |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 446 James Robertson Pkwy Ste 201, Nashville, Tennessee |
| Authorized Official Name and Position | Jennifer Spann (DIRECTOR OF ACCOUNTS) |
| Authorized Official Contact | 6155335800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 446 James Robertson Pkwy Ste 201 Nashville TN 37219-1533 Ph: (615) 533-5800 | Clarvida 446 James Robertson Pkwy Ste 201 Nashville TN 37219-1533 Ph: (615) 370-4228 |
| NPI Number | 1831397645 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Medicare PECOS PAC ID | 8325495211 |
|---|---|
| Medicare Enrollment ID | O20231115000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831397645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Madison Kuykendall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922759943 PECOS PAC ID: 3375987191 Enrollment ID: I20240221000231 |
| Provider Name | Samantha Joline Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023673407 PECOS PAC ID: 0547690711 Enrollment ID: I20240311002686 |
| Provider Name | Kathy Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750564191 PECOS PAC ID: 1759722507 Enrollment ID: I20240511000190 |
| Provider Name | Leonard Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003590951 PECOS PAC ID: 5597106856 Enrollment ID: I20240517000428 |
| Provider Name | Meredith Olsson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588128839 PECOS PAC ID: 1850726753 Enrollment ID: I20240528002086 |
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