Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Imagine Pediatrics Medical of New York, PLLC

Organization Clinical Social Worker · NPI 1720826647

Imagine Pediatrics Medical of New York, PLLC is a Clinical Social Worker in Brentwood, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
10
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

750 Old Hickory Blvd Ste 140
Brentwood, TN 37027-4556
Phone: (833) 208-7770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Registered Dietitian Taxonomy 133V00000X
Pharmacist Taxonomy 183500000X
Physician Assistant Taxonomy 363A00000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Critical Care Pediatric Nurse Practitioner Taxonomy 363LP0222X

Record details

NPI number1720826647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Hayes — President · (832) 746-5683
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address750 Old Hickory Blvd Ste 140, Brentwood, TN 37027-4556

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