PENNYROYAL REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC (NPI# 1356995781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356995781 |
| Entity Type | Organization |
| Organization Name | PENNYROYAL REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC |
| Practice Address |
735 North Dr Hopkinsville KY 42240-2620 |
| Mailing Address |
Po Box 614 Hopkinsville KY 42241-0614 |
| Practice Telephone | 2708865163 |
| Mailing Telephone | 2708862205 |
| Mailing Fax Number | 2708860392 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | ERIC EMBRY (CEO) |
| Authorized Official Telephone | 2708862205 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENNYROYAL REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100037630 | 05 |
| Other Name | Type Code |
|---|---|
| Pennyroyal Center | Doing Business As Name - Organization |
| Pennyroyal MH-MR Board, Inc. | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3999 Fort Campbell Blvd, Hopkinsville, KY 422404929 | 2708862205 | 2708860392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346321643 | Pennyroyal Regional Mental Health-mental Retardation Board Inc | Case Management | 735 North Dr, Hopkinsville, KY 42240-2620 | 2006-10-17 |
| Street Address |
735 NORTH DR |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457335903 | Susan Renee Vaught | Clinical Neuropsychologist | 735 North Dr, Hopkinsville, KY 42240-2620 | 2005-11-29 |
| 1801493143 | Ashley Mesha Mckee | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2020-10-08 |
| 1427663095 | Travis Wade Flener | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2020-09-10 |
| 1457986093 | Brenden Murphy | Social Worker | 735 North Dr, Hopkinsville, KY 42240-2620 | 2020-03-04 |
| 1710519590 | Jenae Bailey | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2020-02-10 |
| 1700421328 | Dustin Ryan Clark | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2019-11-07 |
| 1508415324 | Ashlie Deserai Staples | Counselor | 735 North Dr, Hopkinsville, KY 42240-2620 | 2019-09-04 |
| 1528616927 | Sarah Elaine Watts | Counselor | 735 North Dr, Hopkinsville, KY 42240 | 2019-08-28 |
| 1003461013 | Rebecca Girlinghouse | Student in an Organized Health Care Education/Training Program | 735 North Dr, Hopkinsville, KY 42240-2620 | 2019-08-06 |
| 1972161719 | Deonna L Williams | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2019-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649542 | Vivaria Counseling, Plc | Community/Behavioral Health | 3602 Kahlert Ave, Louisville, KY 40215-1815 | 2020-11-04 |
| 1386245637 | J&j Housing | Community/Behavioral Health | 2923 Wesleyan Park Dr, Owensboro, KY 42301-5477 | 2020-11-03 |
| 1972101368 | Solutions Counseling Center Lllp | Community/Behavioral Health | 12700 Townepark Way Ste 305, Louisville, KY 40243-2543 | 2020-10-16 |
| 1710585088 | Vicki S Ragsdell, Phd Pllc | Community/Behavioral Health | 12004 Log Cabin Ln, Louisville, KY 40223-2218 | 2020-10-09 |
| 1255938411 | Intrinzik Health Care Services | Community/Behavioral Health | 620 Chieftain Dr, Fairdale, KY 40118-9678 | 2020-10-01 |
| 1609483031 | Divine Steps Inc. | Community/Behavioral Health | 3050 W Broadway Ste 1d, Louisville, KY 40211-1475 | 2020-09-29 |
| 1346855590 | First Choice Solution LLC. | Community/Behavioral Health | 285 E Sixth St, Lexington, KY 40508-1564 | 2020-09-14 |
| 1972129591 | Evolved Counseling | Community/Behavioral Health | 8814 Talon Ridge Dr, Louisville, KY 40229-6648 | 2020-06-19 |
| 1770107666 | Interconnected Behavior Essentials Skills Training & Conulting LLC | Community/Behavioral Health | 650 S Highway 27 Ste 5, Somerset, KY 42501-3501 | 2020-06-05 |
| 1497378111 | Alternative Youth Services, Inc. | Community/Behavioral Health | 11218 Professional Park Dr, Louisville, KY 40291-4476 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
Please comment or provide details below to improve the information on PENNYROYAL REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC.
| 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.