Active NPI
Robert Newman Bickett, PSY. D.
- Clinical Psychologist
- Bardstown, KY
National Provider Identifier
1164565818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- KY-1284
- Practice address
- 101 Manor Dr
Suite 100
Bardstown, KY 40004-2298 - Phone
- (502) 349-1300
- Fax
- (502) 350-1177
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | KY-1284 | KY | Primary |
Addresses
Primary practice location
101 Manor Dr
Suite 100
Bardstown, KY 40004-2298
Mailing address
101 Manor Dr
Suite 100
Bardstown, KY 40004-2298
Phone (502) 349-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-1284 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Counties Services, Inc. | Past | Accepting new patients | |
| Bickett and Associates | Clinical | Past | Accepting new patients |
| Larry M. Raskin, PH.D., P.S.C. | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164565818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MANOR DR",
"address_2": "SUITE 100",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400042298",
"telephone_number": "502-349-1300",
"fax_number": "502-350-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANOR DR",
"address_2": "SUITE 100",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400042298",
"telephone_number": "502-349-1300",
"fax_number": "502-350-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKETT",
"first_name": "ROBERT",
"middle_name": "NEWMAN",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "KY-1284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.