Healthcare Provider Details

I. General information

NPI: 1821162264
Provider Name (Legal Business Name): GEROPSYCH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5364 VILLAGE WAY
NASHVILLE TN
37211-6234
US

IV. Provider business mailing address

5364 VILLAGE WAY
NASHVILLE TN
37211-6234
US

V. Phone/Fax

Practice location:
  • Phone: 615-573-8069
  • Fax: 615-333-0676
Mailing address:
  • Phone: 615-573-8069
  • Fax: 615-333-0676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. NORMAN KORTNER NYGARD
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 615-289-3928