Center for Recovery and Wellness

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

CENTER FOR RECOVERY AND WELLNESS

Practice address

50 Lovell CT Ste B
Mount Vernon, KY 40456-2964

Phone

(606) 386-1917

NPI assigned

Oct 15, 2018

Last updated

Oct 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khursheed A SiddiquiNPI 1881634368

Title

Owner

Phone

(859) 236-0606

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khursheed A Siddiqui, MD

  • Pain Medicine Physician
  • Danville, KY
  • NPI 1881634368

  Addiction Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1063988228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LOVELL CT STE B",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562964",
            "telephone_number": "606-386-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RECOVERY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "KHURSHEED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-236-0606"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Kay Bullock, OTR/L
• April Lasha Bussell, OTR/L
• Jessica Carpenter, APRN
• Jennifer T. Cash, APRN
• Lura Cash, D.M.D
• Central Kentucky Surgery, PSC
• Jennifer S. Chadwell, D.M.D.
• Vicki Chapman
• Christian Appalachian Project, Inc
• Ashley Danelle Clark, MS, OTR/L

• Addiction Medicine (Psychiatry & Neurology) Physician in Mount Vernon, KY
• Providers in Mount Vernon, KY by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.