FAMILY CARE CENTER CLINIC (NPI# 1154579050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154579050 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE CENTER CLINIC |
| Practice Address |
1135 Red Mile Pl Lexington KY 40504-1172 |
| Practice Telephone | 8592884097 |
| Mailing Telephone | 8592884097 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |
| Authorized Official Name | TOM YOUNG (MEDICAL CENTER DIRECTOR) |
| Authorized Official Telephone | 8592884057 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
3109 | KY | Ambulatory Health Care Facilities |
| Street Address |
1135 RED MILE PL |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-1172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932378593 | Katherine Elaine Fletcher | Nurse Practitioner | 1135 Red Mile Pl, Lexington, KY 40504-1172 | 2008-02-27 |
| 1043671514 | Michelle Ginter | Speech-Language Pathologist | 1135 Red Mile Pl, Lexington, KY 40504-1172 | 2016-03-11 |
| 1194141853 | Karalee Bush Johnson | Occupational Therapist | 1135 Red Mile Pl, Lexington, KY 40504-1172 | 2014-03-05 |
| 1467877472 | Katie Shreve | Registered Nurse | 1135 Red Mile Pl, Lexington, KY 40504-1172 | 2014-02-27 |
| 1740574011 | Roxanne Katrina Bowman | Nurse Practitioner | 1135 Red Mile Pl, Lexington, KY 40504-1172 | 2011-06-04 |
| 1700186038 | Emily Ellington Robinson | Nurse Practitioner | 1135 Red Mile Pl, Lexington, KY 40504-1172 | 2010-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1134778145 | Schnitzer Associates, Incorporated | Clinic/Center | 127 Concord Ave, Lexington, MA 02421-8203 | 2019-09-11 |
| 1356997746 | Palmetto Therapist LLC | Clinic/Center | 2437c Mineral Springs Rd, Lexington, SC 29072-9145 | 2019-08-13 |
| 1336614072 | Jason Muzzillo, Pllc | Clinic/Center | 168 E Reynolds Rd Ste 210, Lexington, KY 40517-1365 | 2018-10-09 |
| 1861729998 | Centra Health, Inc Community Based Mental Health Programs | Clinic/Center | 35 Magnolia Sq Ste 7, Lexington, VA 24450-3779 | 2009-11-10 |
| 1770951303 | Wake Forest Baptist Health | Clinic/Center | 8 Medical Park Dr, Lexington, NC 27292-6768 | 2015-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447660089 | Gateway Juvenile Diversion Project, Inc. | Clinic/Center | 37 North Maysville St, Mt Sterlig, KY 40353 | 2014-05-05 |
| 1073941837 | Specialized Alternatives for Families and Youth of Kentucky - Elizabet | Clinic/Center | 708 Westport Rd Ste 102, Elizabethtown, KY 42701-2866 | 2013-10-14 |
| 1538378203 | Rape Victim Services, Inc. | Clinic/Center | 1605 N Friendship Rd, Paducah, KY 42001-8650 | 2007-05-21 |
| 1104966357 | The Arc of Owensboro Inc. | Clinic/Center | 731 Jackson Street, Owensboro, KY 42303 | 2007-02-07 |
| 1346899275 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-09-04 |
| 1336561265 | Couchimhc | Clinic/Center | 2415 Lime Kiln Ln, Suite B, Louisville, KY 40222-3429 | 2014-01-12 |
| 1083988919 | Specialized Alternatives for Families and Youth of Kentucky - Somerset | Clinic/Center | 3540 S Highway 27, Suite 4, Somerset, KY 42501-3026 | 2012-02-23 |
| 1720352651 | Specialized Alternatives for Families and Youth of Kentucky-louisville | Clinic/Center | 1169 Eastern Pkwy, Ste 3364, Louisville, KY 40217-1417 | 2012-02-23 |
| 1053692012 | Awareness and Discovery Group LLC | Clinic/Center | 2 Dortha Ave, Florence, KY 41042-2014 | 2011-09-06 |
| 1154487304 | Green River Regional Mental Health/mental Retardation Board, Inc. | Clinic/Center | 1100 Walnut St, Owensboro, KY 42301-2956 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
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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.