| Centennial Psychiatric Associates, Llc | |
|
310 25th Ave N Suite 307 Nashville TN 37203-1515 | |
| (615) 320-8887 | |
| (615) 320-8878 |
| Full Name | Centennial Psychiatric Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 310 25th Ave N, Nashville, Tennessee |
| Authorized Official Name and Position | John Rodgers (VICE PRESIDENT) |
| Authorized Official Contact | 6153737600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Psychiatric Associates, Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7406 | Centennial Psychiatric Associates, Llc 310 25th Ave N Suite 307 Nashville TN 37203-1515 Ph: (615) 320-8887 |
| NPI Number | 1467687822 |
|---|---|
| Provider Enumeration Date | 05/28/2009 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Medicare PECOS PAC ID | 3971654278 |
|---|---|
| Medicare Enrollment ID | O20090626000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467687822 | NPI | - | NPPES |
| 1514874 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Saranyacharyulu V Mudumbi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194895193 PECOS PAC ID: 6204923253 Enrollment ID: I20071107000564 |
| Provider Name | Karyn Leigh Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962559823 PECOS PAC ID: 8224221726 Enrollment ID: I20101015001072 |
| Provider Name | Jeffrey S Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457555930 PECOS PAC ID: 7719149509 Enrollment ID: I20120423000714 |
| Provider Name | Luigi Cardella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477782662 PECOS PAC ID: 1951541374 Enrollment ID: I20180511001103 |
| Provider Name | Elizabeth Heins Helton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265797542 PECOS PAC ID: 8729440821 Enrollment ID: I20230821002960 |
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