NPIMap

University of Kentucky

Organization Active NPI Clinical Psychologist · Lexington, KY

NPI 1144699752 · NPPES record last updated Sep 24, 2015

Key facts

NPI
1144699752
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Psychologist 103TC0700X
License
0656 (KY)
Legal business name
UNIVERSITY OF KENTUCKY
Practice address
740 S Limestone
Ste E214
Lexington, KY 40536-0284
Phone
(859) 323-5500
Fax
(859) 323-0001
NPI assigned
Sep 24, 2015
Organization subpart
No

Authorized official

Name
Dr. Stephanos D Kyrkanides, DDS, PHD
Title
Dean
Phone
(859) 323-1884

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 40

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

View all 40

Practitioners 16

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031105000072 KY Part B Supplier - Clinic/Group Practice 3072425289 Receives reassigned benefits from 2,079 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
University of Ky Hospital (41 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP		 103TC0700X 0656 KY Yes

Addresses

Primary practice location

740 S Limestone
Ste E214
Lexington, KY 40536-0284

Mailing address

740 S Limestone
Ste E214
Lexington, KY 40536-0284
Phone (859) 323-5500

Other names

  • University of Kentucky College of Dentistry Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 24, 2015.

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1144699752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE",
            "address_2": "STE E214",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360284",
            "telephone_number": "859-323-5500",
            "fax_number": "859-323-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE",
            "address_2": "STE E214",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360284",
            "telephone_number": "859-323-5500",
            "fax_number": "859-323-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "KYRKANIDES",
        "authorized_official_first_name": "STEPHANOS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "859-323-1884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "0656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Kentucky College of Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

All providers in Lexington, KY · Clinical Psychologist in Kentucky

Sources for this page

Verify at the official NPI Registry.