NPIMap

Organization Active NPI

Psychiatric Center Inc.

  • Prescribing (Medical) Psychologist
  • Pikeville, KY
National Provider Identifier
1073634341
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
Legal business name
PSYCHIATRIC CENTER INC.
Practice address
1330 S Mayo TRL
Nova Complex Suite 301
Pikeville, KY 41501-2321
Phone
(606) 432-7233
Fax
(606) 432-7255
NPI assigned
Apr 3, 2007
Last updated
Jan 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Dr. Jay Vallabh Narola, MDNPI 1922108844
Title
Owner
Phone
(606) 432-7233

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TP0016X Primary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 364SP0809X 3002856 KY

Addresses

Primary practice location

1330 S Mayo TRL
Nova Complex Suite 301
Pikeville, KY 41501-2321

Mailing address

PO Box 2470
Pikeville, KY 41502-2470
Phone (606) 432-7233

Other identifiers 3

IdentifierTypeStateIssuer
007113722OtherVAMEDICAID
65931784MedicaidKY
0204477000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000381 KY Part B Supplier - Clinic/Group Practice 9032015557 Receives reassigned benefits from 1 practitioner
Practice locations: Pikeville, KY

National Provider Directory

National Provider Directory
Tax ID family
Psychiatric Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1330 S Mayo Trl
Ste 301
Pikeville, KY 41501
Phone (606) 432-0111

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1073634341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2470",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022470",
            "telephone_number": "606-432-7233",
            "fax_number": "606-432-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S MAYO TRL",
            "address_2": "NOVA COMPLEX SUITE 301",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012321",
            "telephone_number": "606-432-7233",
            "fax_number": "606-432-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "NAROLA",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "VALLABH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-432-7233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "KY",
            "license": "3002856",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "007113722",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65931784",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204477000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.