MICHAEL JOHN LIGHT (NPI# 1508863648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508863648 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHN LIGHT |
| Credential | MD |
| Practice Address |
1108 Main Street Shelbyville KY 40065 |
| Practice Telephone | 5025135058 |
| Practice Fax Number | 5025135215 |
| Mailing Telephone | 5025135058 |
| Mailing Fax Number | 5025135215 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
36355 | KY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01056762A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64038847 | 05 | |
| IL | 2003610101A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477931830 | Michael A. Light | Social Worker | 2612 Nubgaard Rd, Ferndale, WA 98248-9226 | 2015-05-18 |
| 1285168708 | Michael Light | Emergency Medicine | 41 E Post Rd, White Plains, NY 10601-4699 | 2017-04-12 |
| 1063837292 | Michael Light II | Internal Medicine | 3 Village Grn N, Plymouth, MA 02360-8803 | 2014-02-25 |
| 1376866640 | Michael Light | Licensed Practical Nurse | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2010-03-01 |
| 1255369534 | Michael J Light | Pediatrics | 1580 Nw 10th Ave, First Floor, Miami, FL 33136-1013 | 2006-06-28 |
| Street Address |
1108 MAIN STREET |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396938858 | Stephen L Matney PC | Psychiatry & Neurology | 629 S Miller St, Shelbyville, IN 46176-1931 | 2007-08-19 |
| 1336168251 | Lori Nation Legrand | Psychiatry & Neurology | 213 Midland Blvd, Shelbyville, KY 40065-7791 | 2006-07-19 |
| 1710986880 | Alex A.s. Fider | Psychiatry & Neurology | 319 Bethany Ln, Shelbyville, TN 37160-3453 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1821637125 | Ocean Behavioral Healthcare LLC | Psychiatry & Neurology | 310 E Broadway Ste 102, Louisville, KY 40202-1745 | 2020-01-03 |
| 1457995912 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 1710 Highway 121 Byp N Ste I, Murray, KY 42071-8925 | 2019-10-28 |
| 1740823780 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 761 Jefferson Pl, Taylor Mill, KY 41015-2233 | 2019-10-22 |
| 1003343518 | Daniella Gavito | Psychiatry & Neurology | 245 Fountain Ct # 225, Lexington, KY 40509-1888 | 2017-05-15 |
| 1639532534 | Chelsea Ann Atwater | Psychiatry & Neurology | 245 Fountain Ct # P225, Lexington, KY 40509 | 2016-03-30 |
| 1093108474 | National Behavioral Health | Psychiatry & Neurology | 3793 Everetts Dl, Lexington, KY 40514-1190 | 2015-03-10 |
| 1972902526 | S. Montgomery Md & Associates Behavioral Healthcare | Psychiatry & Neurology | 620 Carlton Drive, Suite 101, Owensboro, KY 42303 | 2014-08-20 |
| 1922427517 | Astra Behavioral Health LLC | Psychiatry & Neurology | 2000 Ring Rd, Elizabethtown, KY 42701-9454 | 2014-04-10 |
| 1285053058 | Tms Center of Lexington, Pllc | Psychiatry & Neurology | 1000 Monarch St Ste 280, Lexington, KY 40513-1494 | 2014-04-09 |
| 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.