Active NPI
Caldwell & Associates
- Clinical Psychologist
- Lexington, KY
National Provider Identifier
1043752108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 168204
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100417140 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI 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.