| 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 | Gary Duncan (VP) |
| Authorized Official Contact | 6153725135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Psychiatric Associates, Llc 310 25th Ave N Suite 307 Nashville TN 37203-1515 Ph: (615) 320-8887 | 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 | 04/26/2010 |
| 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 | Alan J Lynch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265449490 PECOS PAC ID: 5193768000 Enrollment ID: I20050608000590 |
| Provider Name | Daniel L Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932249992 PECOS PAC ID: 7911003363 Enrollment ID: I20070502000284 |
| Provider Name | Clifford F Roberson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962480467 PECOS PAC ID: 7911093331 Enrollment ID: I20071017000366 |
| Provider Name | Saranyacharyulu V Mudumbi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194895193 PECOS PAC ID: 6204923253 Enrollment ID: I20071107000564 |
| Provider Name | Alexandre A Koumtchev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790873339 PECOS PAC ID: 6204926348 Enrollment ID: I20071213000300 |
| Provider Name | Sarath B Gangavarapu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194755124 PECOS PAC ID: 5395750145 Enrollment ID: I20101004000812 |
| Provider Name | Karyn Leigh Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962559823 PECOS PAC ID: 8224221726 Enrollment ID: I20101015001072 |
| Provider Name | Ethel M Cobbett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861696221 PECOS PAC ID: 3678730801 Enrollment ID: I20120131000309 |
| Provider Name | Jeffrey S Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457555930 PECOS PAC ID: 7719149509 Enrollment ID: I20120423000714 |
| Provider Name | William L Hinds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821145798 PECOS PAC ID: 4789965674 Enrollment ID: I20170109001486 |
| Provider Name | Jaymie U Avenido |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215216163 PECOS PAC ID: 5597033902 Enrollment ID: I20170607002009 |
| Provider Name | Robert C Yates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467794131 PECOS PAC ID: 3476772468 Enrollment ID: I20170802002793 |
| Provider Name | Luigi Cardella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477782662 PECOS PAC ID: 1951541374 Enrollment ID: I20180511001103 |
| Provider Name | Shakevia V Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104236850 PECOS PAC ID: 5092008052 Enrollment ID: I20191115001310 |
| Provider Name | Allison Ford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366897068 PECOS PAC ID: 6305138827 Enrollment ID: I20210603001464 |
| Provider Name | Mihika M. Batavia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710411913 PECOS PAC ID: 9931486594 Enrollment ID: I20211015002327 |
| Provider Name | Olivia Gawrych |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952805202 PECOS PAC ID: 6901288026 Enrollment ID: I20220804003918 |
| Provider Name | Kylie Rita Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053009571 PECOS PAC ID: 5193183739 Enrollment ID: I20230614001541 |
| Provider Name | Elizabeth Heins Helton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265797542 PECOS PAC ID: 8729440821 Enrollment ID: I20230821002960 |
| Provider Name | Brian Bradford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326542606 PECOS PAC ID: 2365774320 Enrollment ID: I20230824000434 |
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