Provider Demographics
NPI:1366655284
Name:PSYCHIATRIC CONSULTANTS OF TENNESSEE PLLC
Entity Type:Organization
Organization Name:PSYCHIATRIC CONSULTANTS OF TENNESSEE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCGHEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-221-9990
Mailing Address - Street 1:915 MCCLARDY RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-6734
Mailing Address - Country:US
Mailing Address - Phone:931-221-9990
Mailing Address - Fax:931-221-9993
Practice Address - Street 1:915 MCCLARDY RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-6734
Practice Address - Country:US
Practice Address - Phone:931-221-9990
Practice Address - Fax:931-221-9993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PSYCHIATRIC CONSULTANTS OF TENNESSEE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-07
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD00000309662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370142Medicare PIN