Organization Active NPI

Julie Kraus Hideg PSYD and Associates PLLC

  • Clinical Psychologist
  • Paducah, KY
National Provider Identifier
1053534404
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1317 Issued in KY
Legal business name
JULIE KRAUS HIDEG PSYD AND ASSOCIATES PLLC
Practice address
2315 Broadway St
Paducah, KY 42001-7113
Phone
(270) 442-8785
Fax
(270) 443-1784
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Dr. Julie Kraus Hideg, PSY.D.NPI 1669485934
Title
Sole Propietor
Phone
(270) 442-8785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1317 KY Primary

Addresses

Primary practice location

2315 Broadway St
Paducah, KY 42001-7113

Mailing address

2315 Broadway St
Paducah, KY 42001-7113
Phone (270) 442-8785

Other names 1

  • Psychological Associates of Paducah, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080811000574 KY Part B Supplier - Clinic/Group Practice 4284708140 Receives reassigned benefits from 1 practitioner
Practice locations: Paducah, KY

National Provider Directory

National Provider Directory

Locations

2204 Kentucky Ave
Paducah, KY 42003
Phone (270) 442-8785

2315 Broadway St
Paducah, KY 42001
Phone (270) 442-8785

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1053534404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017113",
            "telephone_number": "270-442-8785",
            "fax_number": "270-443-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017113",
            "telephone_number": "270-442-8785",
            "fax_number": "270-443-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE KRAUS HIDEG PSYD AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "HIDEG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KRAUS",
        "authorized_official_title_or_position": "SOLE PROPIETOR",
        "authorized_official_telephone_number": "270-442-8785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Associates of Paducah, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Psychological Associates of Paducah, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.