NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD (NPI# 1083816888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083816888 |
| Entity Type | Organization |
| Organization Name | NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD |
| Other Organization Name | NORTHKEY COMMUNITY CARE |
| Practice Address |
503 Farrell Drive Covington KY 41011 |
| Practice Telephone | 8595783200 |
| Practice Fax Number | 8595783273 |
| Mailing Telephone | 8595783200 |
| Mailing Fax Number | 8595783273 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2015-02-25 |
| Authorized Official Name | OWEN T NICHOLS (CEO) |
| Authorized Official Telephone | 8595783252 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOAR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
800084 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 33900275 | 05 |
| Other Name | Type Code |
|---|---|
| Northkey Community Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578527610 | Northern Kentucky Mental Health Mental Retardation Regional Board | Psychiatry & Neurology | 502 Farrell Dr, Covington, KY 41011-3717 | 2006-04-14 |
| 1679775514 | Northern Kentucky Mental Health Mental Retardation Regional Board | Psychiatry & Neurology | 503 Farrell Dr, Covington, KY 41011-3775 | 2007-06-04 |
| 1295937134 | Northern Kentucky Mental Health Mental Retardation Regional Board | Case Management | 503 Farrell Drive, Covington, KY 41011 | 2007-06-04 |
| 1437351376 | Northern Kentucky Mental Health Mental Retardation Regional Board | Clinic/Center | 503 Farrell Drive, Covington, KY 41011 | 2007-06-04 |
| Street Address |
503 FARRELL DRIVE |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477887065 | Diana Brown | Counselor | 503 Farrell Drive, Covington, KY 41011 | 2009-09-29 |
| 1295937134 | Northern Kentucky Mental Health Mental Retardation Regional Board | Case Management | 503 Farrell Drive, Covington, KY 41011 | 2007-06-04 |
| 1104028042 | Northern Kentucky Mental Health Mental Retardation Regional Board Inc | Case Management | 503 Farrell Drive, Covington, KY 41011 | 2007-06-04 |
| 1013119957 | Northern Kentucky Mhmr Regional Board | Clinic/Center | 503 Farrell Drive, Covington, KY 41011 | 2007-06-04 |
| 1922200864 | Northern Kentucky Mhmr Regional Board | Clinic/Center | 503 Farrell Drive, Covington, KY 41011 | 2007-06-04 |
| 1437351376 | Northern Kentucky Mental Health Mental Retardation Regional Board | Clinic/Center | 503 Farrell Drive, Covington, KY 41011 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700354453 | Oh Project- Northshore | Clinic/Center | 190 Greenbrier Blvd Ste 105, Covington, LA 70433-7237 | 2018-11-09 |
| 1750862868 | Amy Meredith, Psy.d., LLC | Clinic/Center | 206 S Tyler St Ste B, Covington, LA 70433-3073 | 2018-08-27 |
| 1255486411 | Horse Time Inc | Clinic/Center | 10385 Highway 278 East, Covington, GA 30014 | 2007-01-25 |
| 1669428140 | Mmo of Covington, LLC | Clinic/Center | 201 Greenbriar Blvd, Covington, LA 70433-7236 | 2006-05-26 |
| 1457351215 | Professional Care Services of West Tn, Inc. | Clinic/Center | 1997 Highway 51 S, Covington, TN 38019-3630 | 2005-07-22 |
| 1649814328 | Northshore Family Resource Center LLC | Clinic/Center | 214 Lee Ln Ste B, Covington, LA 70433-3252 | 2019-11-05 |
| 1154524155 | Northern Kentucky Mhmr Regional Board | Clinic/Center | 503 Farrell Dr, Covington, KY 41011-3775 | 2007-06-07 |
| 1013119957 | Northern Kentucky Mhmr Regional Board | Clinic/Center | 503 Farrell Drive, Covington, KY 41011 | 2007-06-04 |
| 1922200864 | Northern Kentucky Mhmr Regional Board | Clinic/Center | 503 Farrell Drive, Covington, KY 41011 | 2007-06-04 |
| 1437351376 | Northern Kentucky Mental Health Mental Retardation Regional Board | Clinic/Center | 503 Farrell Drive, Covington, KY 41011 | 2007-06-04 |
| Find all providers in COVINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.