CUMBERLAND FAMILY BEHAVIORAL HEALTH, PLLC (NPI# 1659381580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659381580 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND FAMILY BEHAVIORAL HEALTH, PLLC |
| Practice Address |
1675 S Main St London KY 40741-2050 |
| Practice Telephone | 6068781961 |
| Practice Fax Number | 6068771958 |
| Mailing Telephone | 6068781961 |
| Mailing Fax Number | 6068771958 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | RAQUEL F. VASQUEZ (OWNER) |
| Authorized Official Telephone | 6068781961 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35016 | KY | Allopathic & Osteopathic Physicians |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3220P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35016 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65943177 | 05 |
| Street Address |
1675 S MAIN ST |
| City | LONDON |
| State | KY |
| Zip Code | 40741-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932129343 | Richard E Skrip Jr. | Podiatrist | 1675 S Main St, London, KY 40741-2050 | 2006-07-20 |
| 1992197867 | Bc Medical LLC | Nurse Practitioner | 1675 S Main St, London, KY 40741-2050 | 2015-03-02 |
| 1922499094 | Cloud Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1675 S Main St, London, KY 40741-2050 | 2015-02-11 |
| 1528331642 | Anderson Oral and Maxillofacial Surgery, P.s.c | Clinic/Center | 1675 S Main St, Laurel Medical Center, Lower Level, London, KY 40741-2050 | 2012-02-21 |
| 1740419050 | Diana M Buskirk | Nurse Practitioner | 1675 S Main St, London, KY 40741-2050 | 2009-07-08 |
| 1710136817 | Richard Skrip Dpm Inc | Podiatrist | 1675 S Main St, London, KY 40741-2050 | 2008-09-12 |
| 1285800938 | Nadine Brock | Nurse Practitioner | 1675 S Main St, London, KY 40741-2050 | 2008-05-02 |
| 1578749297 | Richard E Skrip | Durable Medical Equipment & Medical Supplies | 1675 S Main St, London, KY 40741-2050 | 2008-01-11 |
| 1790965135 | Richard E. Skrip Dpm | Durable Medical Equipment & Medical Supplies | 1675 S Main St, London, KY 40741-2050 | 2007-11-13 |
| 1144432295 | Donald K. Johnson | Dentist | 1675 S Main St, London, KY 40741-2050 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| 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 |
|---|---|---|---|---|
| 1962412890 | Raquel F. Vasquez | Psychiatry & Neurology | 1675 S Main St, London, KY 40741-2050 | 2006-08-09 |
| 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 |
| 1245255504 | Michael Reid Mayo | Psychiatry & Neurology | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2006-07-13 |
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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.