Reconnect of Pikeville PSC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RECONNECT OF PIKEVILLE PSC

Doing business as

Reconnect of Pikeville PSC

Practice address

59 Thacker Rd
Pikeville, KY 41501-3030

Phone

(606) 637-2256

Fax

(606) 637-2255

NPI assigned

Apr 23, 2021

Last updated

Apr 23, 2021By 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

Bill Webb, DO

Title

Owner/Provider

Phone

(606) 637-2256

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Reconnect of Pikeville PSC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1114509759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2802",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022802",
            "telephone_number": "606-637-2256",
            "fax_number": "606-637-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 THACKER RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013030",
            "telephone_number": "606-637-2256",
            "fax_number": "606-637-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONNECT OF PIKEVILLE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "606-637-2256",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OIG",
            "identifier": "PENDING",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Drchrono",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "59 Thacker Rd",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415013030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Reconnect of Pikeville PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Belinda Ratliiff, TCADC, TCM
• Alexis R. Ravi, D.O.
• Ravinder S. Bhagrath M.D. PSC
• Kimberly Read, MA CCC/SLP
• Annette Rebel, M.D.
• Reed Family Medicine, PSC
• Reed Vision PLLC
• Mark E Reed, M.D.
• Meredith Jarvis Reed, O.D.
• Patrese Danielle Reed, PHARMD

• Substance Use Disorder Rehabilitation Clinic/Center in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.