Healthcare Provider Details

I. General information

NPI: 1558239327
Provider Name (Legal Business Name): DR. JENAAN KHALEELI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 TORRINGTON CT
NASHVILLE TN
37205-3131
US

IV. Provider business mailing address

501 TORRINGTON CT
NASHVILLE TN
37205-3131
US

V. Phone/Fax

Practice location:
  • Phone: 615-495-7592
  • Fax:
Mailing address:
  • Phone: 615-495-7592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number2808
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: