LIFE CONNECT HEALTH LLC – NPI #1841693215
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

LIFE CONNECT HEALTH LLC is a psychiatry & neurologist located in NASHVILLE, TN. NPPES has assigned the NPI number 1841693215 to LIFE CONNECT HEALTH LLC on September 30, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was previously updated about 6 years ago on Aug 27, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFE CONNECT HEALTH LLC below.

NPI Profile for
LIFE CONNECT HEALTH LLC

NPI Number
1841693215
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFE CONNECT HEALTH LLC
Primary location
415 CHURCH ST
UNIT 2802
NASHVILLE, TN 37219
Phone: (276) 356-5262 Fax:
1 Other location(s):
302 Wesley St
Suite 10
Johnson City, TN 37601-1740
Phone: (844) 800-2735
Fax: (844) 800-2735
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JANA DREYZEHNER
CEO
Phone: (844) 800-2735
Updated
Certification Date
Aug 27, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LIFE CONNECT HEALTH LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTN3821648
MEDICAIDVA004945581
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)
TN MD0000029394

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://www.lifeconnecthealth.com/make-a-referral
Endpoint type
CONNECT URL
Endpoint Description
ELECTRONIC REFERRAL FORM
Content Type
Affiliation
N
Endpoint Location
415 CHURCH ST,
NASHVILLE, TN 77025-1669