CENTER FOR RECOVERY AND WELLNESS (NPI# 1063988228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063988228 |
| Entity Type | Organization |
| Organization Name | CENTER FOR RECOVERY AND WELLNESS |
| Practice Address |
50 Lovell Ct Ste B Mount Vernon KY 40456-2964 |
| Mailing Address |
Po Box 7096 Stockton CA 95267-0096 |
| Practice Telephone | 6063861917 |
| Mailing Telephone | 2099567725 |
| Mailing Fax Number | 2099567733 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | KHURSHEED A SIDDIQUI (OWNER) |
| Authorized Official Telephone | 8592360606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427404037 | Center for Recovery and Wellness | Family Medicine | 300 W Broadway St, Danville, KY 40422 | 2016-05-12 |
| Street Address |
50 LOVELL CT STE B |
| City | MOUNT VERNON |
| State | KY |
| Zip Code | 40456-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700274248 | Angela Joy Silva | Counselor | 20 Lovell Court, Mt Vernon, KY 40456 | 2015-01-07 |
| 1992128045 | Health Help Inc | Pharmacy | 116 Progress Drive, Mount Vernon, KY 40456 | 2014-01-27 |
| 1376703017 | Cumberland Valley Dist Health Dept | Public Health or Welfare | 1545 Lake Cumberland Road, Mt Vernon, KY 40456 | 2008-06-16 |
| 1386803401 | Mt Vernon Partials and Dentures | Denturist | 571 Richmond Street, Mt Vernon, KY 40456 | 2008-06-04 |
| 1285817973 | Lloyd L. Cain O.d | Eyewear Supplier (Equipment, not the service) | 205 Richmond Street, Mount Vernon, KY 40456 | 2007-12-17 |
| 1669652210 | Main Street Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 150 Main Street Pharmacy, Mt Vernon, KY 40456 | 2007-11-13 |
| 1952516197 | Suzann Fenton | Specialist | 4192 Wilderness Rd, Mt. Vernon, KY 40456 | 2007-05-11 |
| 1659595304 | Rockcastle County Adult Health Care | Clinic/Center | 1260 S. Wilderness Road, Mount Vernon, KY 40456 | 2007-04-12 |
| 1790909075 | Teresa Blair | Dietitian, Registered | 145 Newcomb Ave., Rockcastle Hospital, Mt Vernon, KY 40456 | 2007-04-11 |
| 1972622066 | Tracy Renee King | Pharmacist | 110 Newcomb Avenue, Mt. Vernon, KY 40456 | 2007-03-28 |
| Find all providers in zip 40456 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285103937 | A Newco LLC | Psychiatry & Neurology | 700 Envoy Cir # 702, Louisville, KY 40299-1812 | 2018-11-23 |
| 1487143806 | Fresh Start Health Psc | Psychiatry & Neurology | 336 29th St Ste 203, Ashland, KY 41101-1932 | 2018-05-02 |
| 1972007128 | Revitalize Healthcare, Inc | Psychiatry & Neurology | 657 Lone Oak Rd Ste 2, Paducah, KY 42003-4547 | 2018-03-22 |
| 1427269042 | Cheryl Yvonne Elizabeth Bailey Salary | Psychiatry & Neurology | 149 Grant Park Dr, Dayton, KY 41074-1745 | 2007-05-25 |
| 1306996079 | Michael G Kindred | Psychiatry & Neurology | 146 Deweese St, Lexington, KY 40507-1921 | 2007-01-12 |
| 1073548525 | Gary Clark Patton | Psychiatry & Neurology | 861 Corporate Dr, Lexington, KY 40503-5432 | 2006-07-12 |
| 1437186863 | Michelle Lofwall | Psychiatry & Neurology | 845 Angliana Ave, Lexington, KY 40508-3146 | 2006-06-28 |
| 1992267223 | Eastpoint Recovery Pllc | Psychiatry & Neurology | 13113 Eastpoint Park Blvd Ste C, Louisville, KY 40223-4191 | 2019-04-04 |
| 1366911893 | Isaiah House Inc | Psychiatry & Neurology | 975 Hustonville Rd Ste 7, Danville, KY 40422-2165 | 2018-11-14 |
| 1730342635 | Christina Shuman Wise | Psychiatry & Neurology | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2008-07-10 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 40456 |
Please comment or provide details below to improve the information on CENTER FOR RECOVERY AND WELLNESS.
| 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.