Provider Demographics
NPI:1023215233
Name:CENTER FOR NEUROLOGICAL TREATMENT & RESEARCH PLLC
Entity Type:Organization
Organization Name:CENTER FOR NEUROLOGICAL TREATMENT & RESEARCH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBINOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-355-5510
Mailing Address - Street 1:515 STONECREST PKWY
Mailing Address - Street 2:STE 200
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6826
Mailing Address - Country:US
Mailing Address - Phone:618-535-5550
Mailing Address - Fax:615-355-8699
Practice Address - Street 1:125 COOL SPRINGS BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-771-6000
Practice Address - Fax:615-770-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNCG4522OtherRR MEDICARE
TN3802609Medicaid
TN3039399OtherBCBST
TN3717552Medicaid
TNG34269Medicare UPIN
TN3717552Medicare PIN
TN3039399OtherBCBST