OrganizationActive
17th Avenue Psychiatry
NPI 1619154440 · Child & Adolescent Psychiatry Physician · Nashville, TN
Provider details
- NPI number
- 1619154440
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Frederick Starr, Ceo
- License
- 38217 (TN)
Mailing address
Po Box 40466
Nashville, TN 37204-0466
Registry dates
- Enumerated
- 2008-01-23
- Last updated
- 2008-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.