PSYCHIATRIC ASSOCIATES (NPI# 1134240393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134240393 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC ASSOCIATES |
| Practice Address |
3175 Custer Dr Suite #200 Lexington KY 40517-4023 |
| Practice Telephone | 8592731288 |
| Practice Fax Number | 8592731278 |
| Mailing Telephone | 8592731288 |
| Mailing Fax Number | 8592731278 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EDWARD PAUL EVENSEN (PRESIDENT) |
| Authorized Official Telephone | 8592731288 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
KY | Behavioral Health & Social Service Providers | |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
KY | Behavioral Health & Social Service Providers | |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
KY | Allopathic & Osteopathic Physicians | |
| X | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225351885 | Psychiatric Associates | Clinic/Center | 1601 Walnut Street, Suite 1312, Philadelphia, PA 19102 | 2010-03-10 |
| 1245435171 | Psychiatric Associates | Social Worker | 80 Exchange St, Suite 28, Portland, ME 04101-5035 | 2007-06-20 |
| 1790863744 | Psychiatric Associates | Psychiatry & Neurology | 1160 Johnson Ave, Ste 105, Bridgeport, WV 26330 | 2006-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PSYCHIATRIC ASSOCIATES OF ALEXANDRIA INC. | 6066 Leesburg Pike, Suite 900a, Falls Church, Virginia 22041 |
| Virginia Business Entities | PSYCHIATRIC ASSOCIATES OF VIRGINIA LTD. | 1217 Stonegate Way, Crozet, Virginia 22932 |
| Oregon Corporations, Companies and Business Names | PSYCHIATRIC ASSOCIATES SERVICES PLLC | 2522 N 31st St, Boise, ID 83703 |
| Street Address |
3175 CUSTER DR SUITE #200 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40517-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053374082 | Getulio Vargas Tovar | Psychiatry & Neurology | 3175 Custer Dr, Suite #200, Lexington, KY 40517-4023 | 2006-04-10 |
| 1790057313 | Behavioral Health & Wellness Center | Social Worker | 3175 Custer Dr, Suite 200, Lexington, KY 40517-4023 | 2012-01-27 |
| 1861626996 | Kara Stebbins | Psychiatry & Neurology | 3175 Custer Dr, Suite 200, Lexington, KY 40517-4023 | 2009-05-04 |
| 1659336667 | Perry Brian Sutton | Nurse Practitioner | 3175 Custer Dr, Ste 200, Lexington, KY 40517 | 2006-04-20 |
| 1609839539 | Paul Douglas Acra | Counselor | 3175 Custer Dr, Lexington, KY 40517-4023 | 2006-04-11 |
| 1568425502 | Marc Henry Plavin | Psychologist | 3175 Custer Dr, Suite #200, Lexington, KY 40517-4023 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1538638515 | Lionheart Trauma Support Services, LLC | Social Worker | 168 E Reynolds Rd., Suite 210, Lexington, KY 40517 | 2018-11-19 |
| 1467964486 | Leila M Goodpaster | Counselor | 3205 Elk Lake Ct., Lexington, KY 40517 | 2017-10-31 |
| 1588108609 | Body Structure Clinic | Dietitian, Registered | 2600 Gribbin Dr., Lexington, KY 40517 | 2016-12-08 |
| 1932538766 | Lydia Akin | Social Worker | 3150 Custer Dr., Suite 103, Lexington, KY 40517 | 2013-11-02 |
| 1083986335 | Family Counseling Service | Social Worker | 1393 Trent Blvd., Lexington, KY 40517 | 2012-02-02 |
| 1356624233 | Michael Glindmeyer | Physical Therapist | 2600 Gribbin Drive, Lexington, KY 40517 | 2011-09-27 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1982913745 | Cynae Rashel Carter | Social Worker | 343 Waller Avenue, Suite 201, Lexington, KY 40517 | 2010-09-28 |
| 1548401185 | Jason Eugene Thomas | Counselor | 1393 Trent Boulevard, Building 2, Suite 2101, Lexington, KY 40517 | 2009-03-11 |
| Find all providers in zip 40517 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486230 | Angie Fabiola Hernandez | Psychologist | 1009 Fisk Ct, Lexington, KY 40511-8369 | 2020-10-26 |
| 1548869084 | Skaggs Consulting, Pllc | Psychologist | 501 Darby Creek Rd Ste 41, Lexington, KY 40509-1671 | 2020-10-24 |
| 1801412424 | Melinda Moore | Psychologist | 144 E Lowry Ln, Lexington, KY 40503-2403 | 2020-06-19 |
| 1760948939 | True North Counseling & Development, Pllc | Psychologist | 2220 Executive Dr Ste 202, Lexington, KY 40505-4872 | 2019-02-13 |
| 1740765569 | Marlene Major LLC | Psychologist | 76 Bedford St Ste 2, Lexington, MA 02420-4640 | 2018-09-27 |
| 1447740774 | Isabel Teresa Szabo | Psychologist | 28 Cottage St, Lexington, MA 02420-2202 | 2018-05-11 |
| 1336638246 | Betty G. Doo I | Psychologist | 26 Cary Ave, Lexington, MA 02421-7710 | 2018-05-07 |
| 1639675200 | Amy Frazier | Psychologist | 120 N Eagle Creek Dr Ste 103, Lexington, KY 40509-1827 | 2018-04-03 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1184172298 | Meghan L Marsac | Psychologist | 800 Rose St # Ha398, Lexington, KY 40536-7001 | 2016-09-18 |
| 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.