Organization · Type 2 NPI

The Northshore Group, Inc.

Clinical Psychologist · Knoxville, TN

NPI number 1790423366 Active

Practice location

1111 N Northshore Dr Ste SOUTH490
Knoxville, TN 37919-4005

Fax (865) 584-0174

Specialties and licenses

Taxonomy	Code	License
Professional Counselor	101YP2500X	None listed
Clinical Neuropsychologist	103G00000X	None listed
Psychologist	103T00000X	None listed
Clinical Psychologist Primary	103TC0700X	None listed
Clinical Child & Adolescent Psychologist	103TC2200X	None listed
Clinical Social Worker	1041C0700X	None listed
Psychiatry Physician	2084P0800X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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NPI record

NPI: 1790423366
Entity type: Organization (Type 2)
Issued: May 24, 2022
Last updated: Sep 12, 2024
Status: Active

Other names

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Northshore Group · doing business as
Northshore Group · doing business as

Authorized official

Dr. Michael Calvin Hawthorne, PhD
President
(865) 584-0171

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790423366

The Northshore Group, Inc.'s National Provider Identifier is 1790423366, issued on May 24, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Knoxville, TN. The record was last updated on Sep 12, 2024.