Provider Demographics
NPI:1174804421
Name:BEHAVIORAL INSIGHTS
Entity type:Organization
Organization Name:BEHAVIORAL INSIGHTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:JETHANANDANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-951-2162
Mailing Address - Street 1:PO BOX 32632
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37930-2632
Mailing Address - Country:US
Mailing Address - Phone:865-951-2162
Mailing Address - Fax:865-951-0317
Practice Address - Street 1:6216 LONAS DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-3235
Practice Address - Country:US
Practice Address - Phone:865-951-2162
Practice Address - Fax:865-951-0317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD000019675261QM0855X
TNMD0000019675261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health