Organization Active NPI

Pathe Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1083469274
Registry record updated May 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PATHE PSYCHIATRY, LLC
Practice address
2626 Ring Rd
Elizabethtown, KY 42701-9118
Phone
(270) 486-1479
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2024

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

Authorized official

Name
Dr. Julie Percefull, DNP, FNP-C, PMHNP-BCNPI 1548753148
Title
Owner/Provider
Phone
(270) 486-1479

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2626 Ring Rd
Elizabethtown, KY 42701-9118

Mailing address

575 D W Meredith Rd
Munfordville, KY 42765-9315
Phone (270) 486-1479

National Provider Directory

National Provider Directory

Locations

408 Hotchkiss St
Campbellsville, KY 42718
Phone (270) 465-0227

Practitioners & affiliated clinicians

Practitioners 1

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": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716681600000",
    "number": "1083469274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 D W MEREDITH RD",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427659315",
            "telephone_number": "270-486-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019118",
            "telephone_number": "270-486-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-26",
        "status": "A",
        "authorized_official_last_name": "PERCEFULL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "270-486-1479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; 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.