MICHAEL REID MAYO (NPI# 1245255504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245255504 |
| Entity Type | Individual |
| Full Name | MICHAEL REID MAYO |
| Credential | MD |
| Practice Address |
250 Alpine Dr Shelbyville KY 40065-8880 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5025898600 |
| Practice Fax Number | 5025898771 |
| Mailing Telephone | 5025898600 |
| Mailing Fax Number | 5025898771 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
31734 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539293 | Michael Mayo | Occupational Therapy Assistant | 8616 E Windsong Dr, Anaheim, CA 92808-1634 | 2019-07-03 |
| 1891856811 | Michael Thomas Mayo | Dentist | 1505 N Swan, Suite A, Tucson, AZ 85712 | 2006-12-13 |
| 1487267092 | Michael C Mayo | Occupational Therapist | 70 Malta Ave, Ballston Spa, NY 12020-1529 | 2020-08-25 |
| 1447805700 | Michael Stillman Mayo | Social Worker | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2019-08-05 |
| 1922565985 | Michael Aaron Mayo | Physician Assistant | 464 Congress Ave Ste 260, New Haven, CT 06519 | 2019-02-26 |
| 1285909465 | Michael Rae Mayo | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2012-03-20 |
| 1932362654 | Michael Mayo | Social Worker | 1212 W Main St, Visalia, CA 93291-5917 | 2008-07-02 |
| Street Address |
250 ALPINE DR |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-8880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924845 | Rachel A Archer | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2020-08-31 |
| 1033745492 | Sarah L Adams | Social Worker | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2020-03-18 |
| 1629472634 | Mari Lallier | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2014-10-20 |
| 1063828630 | Cassandra Ellen Edinger | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2014-07-03 |
| 1346652013 | Glenn Truman Harris | Psychologist | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2014-05-28 |
| 1023373123 | Jennifer L Conway | Social Worker | 250 Alpine Dr, 3rd Floor, Shelbyville, KY 40065-8880 | 2012-07-05 |
| 1942561915 | Teandra Young | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2012-06-06 |
| 1265793905 | Edwin Raidt | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2012-05-30 |
| 1073897476 | Amanda Cisneros | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2011-10-04 |
| 1649563198 | Jill Herrick | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2011-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306371067 | Mohammed R Movahid | Psychiatry & Neurology | Graduate Medical Education 800 Rose Street Room Hq-101, Lexington, KY 40536-0293 | 2017-05-01 |
| 1336534437 | Nicole I Goodin | Psychiatry & Neurology | 649 Chamberlin Ave, Frankfort, KY 40601-4288 | 2015-04-06 |
| 1356736896 | Tymberly Seim | Psychiatry & Neurology | 200 E Chestnut St Ste 200, Louisville, KY 40202-1847 | 2015-04-01 |
| 1285037713 | Courtney Brown Snyder | Psychiatry & Neurology | 5223 Indian Woods Dr, Louisville, KY 40207-2078 | 2014-09-29 |
| 1629416854 | Ball Consulting, Inc | Psychiatry & Neurology | 732 Greenridge Ln, Louisville, KY 40207-1331 | 2013-06-10 |
| 1467896845 | Andrew Russell Roads | Psychiatry & Neurology | Uk University Health Service, 830 S Limestone, Lexington, KY 40508 | 2013-04-29 |
| 1154458776 | Christine Beate Lieber Adams | Psychiatry & Neurology | 1430 Sylvan Way, Louisville, KY 40205-2484 | 2007-02-28 |
| 1851432199 | Julia M. Robertson | Psychiatry & Neurology | 3 River Hill Rd, Louisville, KY 40207-1191 | 2007-02-09 |
| 1124046552 | Elvira Drljevic Md Psc | Psychiatry & Neurology | 3814 Stone River Ct, Louisville, KY 40299-6543 | 2006-07-17 |
| 1861426991 | Elizabeth Caudill | Psychiatry & Neurology | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
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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.