Organization Active NPI

Caldwell & Associates

  • Clinical Psychologist
  • Lexington, KY
National Provider Identifier
1043752108
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
168204 Issued in KY
Legal business name
CALDWELL & ASSOCIATES
Practice address
823 Melrose Ave
Lexington, KY 40502-2215
Phone
(859) 963-3563
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Julia Caldwell, PSYD
Title
Chief Psychologist
Phone
(859) 963-3563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 168204 KY Primary

Addresses

Primary practice location

823 Melrose Ave
Lexington, KY 40502-2215

Mailing address

823 Melrose Ave
Lexington, KY 40502-2215
Phone (859) 963-3563

Other identifiers 1

IdentifierTypeStateIssuer
7100417140MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1043752108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 MELROSE AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022215",
            "telephone_number": "859-963-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 MELROSE AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022215",
            "telephone_number": "859-963-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "859-963-3563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "168204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100417140",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.