Active NPI
Kathryn Ney, MD
- Psychiatry Physician
- Daphne, AL
National Provider Identifier
1154366144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 24015
- Practice address
- 1026 Stanton Rd
Suite a
Daphne, AL 36526-4299 - Phone
- (251) 626-1182
- Fax
- (251) 217-2085
- NPI assigned
- Jun 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 24015 | AL | Primary |
Addresses
Primary practice location
1026 Stanton Rd
Suite a
Daphne, AL 36526-4299
Mailing address
1026 Stanton Rd
Ste. a
Daphne, AL 36526-4299
Phone (251) 626-1182
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051505902 | Medicaid | AL | |
| 51505902 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150318002289 | ND | Practitioner - Psychiatry | 5799959532 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Duke University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PSJ Acquisition LLC
Practice addresses (Care Compare)
510 4TH St S
Fargo, ND 58103-1914
Phone (701) 476-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24015 | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSJ Acquisition LLC | Psychiatry | Current | Accepting new patients |
| PSJ Acquisition LLC | Current | Accepting new patients | |
| Coastal Psychiatry, LLC | Past | Accepting new patients |
Locations
510 4th St S
Fargo, ND 58103
Phone (701) 476-7200
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Daphne, AL
- NPI 1407390610
-
- Psychologist
- Fargo, ND
- NPI 1720454267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1154366144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 STANTON RD",
"address_2": "STE. A",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264299",
"telephone_number": "251-626-1182",
"fax_number": "251-217-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 STANTON RD",
"address_2": "SUITE A",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264299",
"telephone_number": "251-626-1182",
"fax_number": "251-217-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEY",
"first_name": "KATHRYN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "24015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051505902",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51505902",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.