PSYCHIATRIC CENTER INC.


Address: 1330 S Mayo Trl, Nova Complex Suite 301, Pikeville, KY 41501-2321
Phone: 6064327233

PSYCHIATRIC CENTER INC. (NPI# 1073634341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073634341
Entity Type Organization
Organization Name PSYCHIATRIC CENTER INC.
Practice Address 1330 S Mayo Trl
Nova Complex Suite 301
Pikeville
KY 41501-2321
Mailing Address Po Box 2470
Pikeville
KY 41502-2470
Practice Telephone 6064327233
Practice Fax Number 6064327255
Mailing Telephone 6064327233
Mailing Fax Number 6064327255
Enumeration Date 2007-04-03
Last Update Date 2013-01-15
Authorized Official Name DR. JAY VALLABH NAROLA (OWNER)
Authorized Official Telephone 6064327233
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
3002856 KY Physician Assistants & Advanced Practice Nursing Providers
Y 103TP0016X Psychologist
Specialization: Prescribing (Medical)
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 0204477000 05
VA MEDICAID 007113722 01
KY 65931784 05

Office Location

Street Address 1330 S MAYO TRL
NOVA COMPLEX SUITE 301
City PIKEVILLE
State KY
Zip Code 41501-2321

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1942667456 Crossroads Addiction Recovery Effort, LLC Family Medicine 484 Tollage Crk, Pikeville, KY 41501 2016-01-28
1265836183 Rebecca Leann Roberts Pharmacist 259 Bear Rd, Pikeville, KY 41501 2014-10-21
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Taxonomy Information

Taxonomy Code 103TP0016X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Prescribing (Medical)

Taxonomy Definition

Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new]

Competitor

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City PIKEVILLE
Zip Code 41501

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Dataset Information

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.

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