COMMONWEALTH OF KENTUCKY (NPI# 1598056210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598056210 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF KENTUCKY |
| Other Organization Name | CENTRAL STATE HOSPITAL PHYSICIANS |
| Practice Address |
10510 Lagrange Road Louisville KY 40223 |
| Practice Telephone | 5022537000 |
| Practice Fax Number | 5032537090 |
| Mailing Telephone | 5022537000 |
| Mailing Fax Number | 5032537090 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | STEPHANIE CRAYCRAFT (DIRECTOR) |
| Authorized Official Telephone | 5027826243 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMONWEALTH OF KENTUCKY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65945396 | 05 |
| Other Name | Type Code |
|---|---|
| Central State Hospital Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043686900 | Commonwealth of Kentucky | Skilled Nursing Facility | 100 Veterans Drive, Radcliff, KY 40160 | 2015-08-14 |
| 1245657857 | Commonwealth of Kentucky | Clinic/Center | 2441 Us Highway 27, Somerset, KY 42501 | 2014-03-20 |
| 1730329897 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood, 2441 S. Hwy 27, Somerset, KY 42501 | 2009-03-03 |
| 1588804546 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood Dr, 2441 S. Hwy 27, Somersetq, KY 42501 | 2009-03-03 |
| 1770762833 | Commonwealth of Kentucky | Residential Treatment Facility, Physical Disabilities | 5659 Main St, Thelma, KY 41260-8609 | 2007-10-25 |
| 1396962551 | Commonwealth of Kentucky | Nursing Facility/Intermediate Care Facility | 200 Veterans Dr, Hazard, KY 41701-9484 | 2007-04-19 |
| 1124144456 | Commonwealth of Kentucky | Pharmacy | 2400 Russellville Road, Hopkinsville, KY 42240 | 2007-03-21 |
| 1194862599 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205 | 2007-02-01 |
| 1083785125 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 4401-4505 Louise Underwood Way, Louisville, KY 40216 | 2006-11-12 |
| 1689652513 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 210 Meadows Dr, Mt Washington, KY 40047-6013 | 2005-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMONWEALTH OF KENTUCKY - DEPARTMENT FOR LOCAL GOVERNMENT | 1024 Capital Center Dr Ste 340, Frankfort, KY 40601-7514 |
| Street Address |
10510 LAGRANGE ROAD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851440267 | Denise L Epperson | Psychiatry & Neurology | 10510 Lagrange Road, Louisville, KY 40223-1228 | 2007-01-09 |
| 1578871679 | Commonwealth of Kentucky | Psychiatry & Neurology | 10510 Lagrange Road, Louisville, KY 40223 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| 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 |
|---|---|---|---|---|
| 1821637125 | Ocean Behavioral Healthcare LLC | Psychiatry & Neurology | 310 E Broadway Ste 102, Louisville, KY 40202-1745 | 2020-01-03 |
| 1023445913 | Your Psychological Needs, Inc. | Psychiatry & Neurology | 13113 Eastpoint Park Blvd Ste C, Louisville, KY 40223-4191 | 2013-10-09 |
| 1326393877 | Alexis M. Guerrero | Psychiatry & Neurology | 907 Rugby Pl, Louisville, KY 40222-5641 | 2012-07-20 |
| 1417210824 | Teresa Walker | Psychiatry & Neurology | 2910 W Jefferson St, Louisville, KY 40212-1771 | 2012-06-20 |
| 1235496191 | Kari Kristiane Dubosque | Psychiatry & Neurology | 10608 Gleneagle Pl, Louisville, KY 40223-2667 | 2012-04-17 |
| 1376823443 | Frederick Allen Walker | Psychiatry & Neurology | 11405 Park Rd Ste 160, Louisville, KY 40223-2427 | 2011-08-22 |
| 1770872798 | Caroline Amanda Mcdonald | Psychiatry & Neurology | 323 E Chestnut St, Louisville, KY 40202-1823 | 2011-03-30 |
| 1942444948 | Kenneth Scott Davis | Psychiatry & Neurology | 1837 Edenside Ave, Louisville, KY 40204-1521 | 2009-04-22 |
| 1912195223 | Anthony J Siegel | Psychiatry & Neurology | 4401 Louise Underwood Way, Louisville, KY 40216-3986 | 2007-10-11 |
| 1700072287 | Ora Frankel | Psychiatry & Neurology | 2327 Lime Kiln Ln Ste A, Louisville, KY 40222-3422 | 2007-09-19 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40223 |
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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.