OrganizationActive
Ten Broeck Tennessee Physicians Group Inc
NPI 1265022974 · Geriatric Psychiatry Physician · Dennison, OH
Provider details
- NPI number
- 1265022974
- Entity type
- Organization
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Glenda Guy, Director, Compliance(931) 607-6513
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
8 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
819 N 1st St
Dennison, OH 44621-1003
Phone: (740) 922-7415
Fax: (740) 922-7413
Street-level locationGet directions
Mailing address
Po Box 1100
Windermere, FL 34786-1100
Other names (DBA / former)
- Doing business as
- Vibrant Living: a Program for Seniors
Additional practice locations (7)
- 911 Stacey Burk DrFlora, IL 62839-3241Phone: (618) 662-6621Fax: (618) 622-3313
- 2 S Hospital DrMurphysboro, IL 62966-3333Phone: (618) 684-3156Fax: (618) 684-1024
- 530 Park Ave EPrinceton, IL 61356-3901Phone: (815) 876-2004Fax: (815) 876-2008
- 1600 23rd StBedford, IN 47421-4704Phone: (812) 276-1051Fax: (812) 276-1276
- 301 Henry St Bldg CNorth Vernon, IN 47265-1030Phone: (812) 352-2430Fax: (812) 382-2431
- 911 N Shelby StSalem, IN 47167-2304Phone: (812) 883-8582Fax: (812) 883-8595
- 305 Estill StBerea, KY 40403-1742Phone: (859) 986-6301Fax: (859) 986-6479
Registry dates
- Enumerated
- 2021-01-26
- Last updated
- 2021-01-26
- Certified
- 2021-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.