DR. LACEY K PRICE (NPI# 1861565210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861565210 |
| Entity Type | Individual |
| Full Name | DR. LACEY K PRICE |
| Credential | PSY.D. |
| Practice Address |
711 Millpond Rd Lexington KY 40514-1561 |
| Practice Telephone | (859) 428-8008 |
| Practice Fax Number | 8592866444 |
| Mailing Telephone | 8594288008 |
| Mailing Fax Number | 8592866444 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1514 | KY | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 1514 | KY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| N | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100045890 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1031 Wellington Way, Ste 215, Lexington, KY 405131251 | 8594288008 | 8592866444 |
| 1401 Harrodsburg Rd Ste B280, Lexington, KY 405041728 | 8593134989 | 8593133390 |
| Street Address |
711 MILLPOND RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40514-1561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487282604 | Kristen Mews, Lpc, LLC | Counselor | 711 Millpond Rd, Lexington, KY 40514-1561 | 2020-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912310525 | Ameer Allouch | Pharmacist | 3513 Dylan Place, Lexington, KY 40514 | 2014-06-11 |
| 1417226911 | Meenu Devi | Specialist | 505 Newbury Way, Lexington, KY 40514 | 2011-12-29 |
| 1295998185 | Dickson Peter Ufomata | Dentist | 1600 Leestown Road, Ste. 138, Lexington, KY 40514 | 2008-07-09 |
| 1073980918 | Krystina Marcio | Pharmacist | 3813 Dylan Pl, Lexington, KY 40514 | 2015-08-26 |
| 1336224484 | The Smile Shop Inc | Dentist | 3650 Boston Rd, Suite K, Lexington, KY 40514 | 2006-10-26 |
| 1184806259 | Carrie Bales | Developmental Therapist | 1028 Moylan Ln, Lexington, KY 40514-1010 | 2007-11-30 |
| 1134512361 | Rachael Hilliard | Speech-Language Pathologist | 1145 Wood Ridge Rd, Lexington, KY 40514-1016 | 2015-03-12 |
| 1619319076 | Jacklyn Martin | Developmental Therapist | 913 Overview Dr, Lexington, KY 40514-1032 | 2013-07-25 |
| 1427214394 | Karen C Mahaney | Pharmacist | 3813 Dylan Pl, Lexington, KY 40514-1062 | 2008-07-31 |
| 1366606501 | Chiro One Wellness Center of Mill Pond Pllc | Chiropractor | 3801 Dylan Pl, Suite 110, Lexington, KY 40514-1062 | 2008-07-16 |
| Find all providers in zip 40514 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558686725 | Daniel Kendig Reinstein Iv | Clinical Neuropsychologist | 187 Spring St, Lexington, MA 02421-8030 | 2010-03-31 |
| 1275735557 | Harvey Irwin Botman | Clinical Neuropsychologist | Suite 3, 15 Depot Square, Lexington, MA 02420-6330 | 2007-05-31 |
| 1043360936 | Hugh Coffman | Clinical Neuropsychologist | 76 Bedford St Ste 17, Lexington, MA 02420-4640 | 2007-01-11 |
| 1346399318 | Peter Judson Gager | Clinical Neuropsychologist | 3175 Custer Dr Ste 302b, Lexington, KY 40517-4023 | 2007-01-09 |
| 1144306515 | David T Berry | Clinical Neuropsychologist | Psychology 125 Kastle Hall, University of Kentucky, Lexington, KY 40506-0001 | 2006-10-28 |
| 1851317291 | Janine Korahais Stasior | Clinical Neuropsychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2006-07-15 |
| 1477535250 | Timothy J Carbary | Clinical Neuropsychologist | 261 Regency Cir, Suite 4, Lexington, KY 40503-2348 | 2005-11-16 |
| 1285168260 | Lisa Koehl | Clinical Neuropsychologist | 740 S Limestone, Ky Clinic, J401, Lexington, KY 40536-0001 | 2017-04-17 |
| 1407397128 | Jordan Patrick Harp | Clinical Neuropsychologist | 740 S Limestone Ste B101, Lexington, KY 40536-0284 | 2017-03-14 |
| 1568912525 | Sarah Backe | Clinical Neuropsychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2016-10-13 |
| Find all providers in LEXINGTON | ||||
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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.