Individual provider Active NPI

Kathryn Ney, MD

  • Psychiatry Physician
  • Daphne, AL
National Provider Identifier
1154366144
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24015 Issued in AL
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

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
051505902MedicaidAL
51505902OtherALBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 26 clinicians

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

LicenseStateTypeSpecialty
24015ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PSJ Acquisition LLC Psychiatry CurrentSince Mar 2, 2015 Accepting new patients
PSJ Acquisition LLC CurrentSince Mar 2, 2015 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.

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

Verify at the official NPI Registry.