Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adult and Geriatric Psychiatry Service

Organization Geriatric Psychiatry Physician · NPI 1053650200

Adult and Geriatric Psychiatry Service is a Geriatric Psychiatry Physician in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2013.

Licensed in
TN
In the registry since
2013

Practice location Address checks out

1618 Strawberry Ln
Johnson City, TN 37604-7700
Phone: (423) 677-6787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X · Licence MD19195 (TN)

Record details

NPI number1053650200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fernando Bendfeldt — Physician · (423) 283-8801
NPI enumeratedFebruary 7, 2013
Last updated in NPPESFebruary 7, 2013
Mailing address101 Med Tech Pkwy Ste 407, Johnson City, TN 37604-4000