Individual provider Active NPI

Barry Martin Rebeck, MD

  • Psychiatry Physician
  • Richmond, KY
National Provider Identifier
1174534036
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
32360 Issued in KY
Practice address
401 Highland Park Dr
Richmond, KY 40475-3839
Phone
(859) 626-7700
Fax
(859) 626-7890
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 32360 KY Primary
Psychiatry Physician 2084P0800X LT3548 NH

Addresses

Primary practice location

401 Highland Park Dr
Richmond, KY 40475-3839

Mailing address

1010 Main St S
MC Kee, KY 40447-7089
Phone (859) 626-7700

Other identifiers 3

IdentifierTypeStateIssuer
32360OtherKYMEDICAL LICENSE - KENTUCKY
9900330OtherNCMEDICAL LICENSE - NORTH CAROLINA
7100142440MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, PA, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040317000086 KY Practitioner - Psychiatry 2264322098 Reassigns benefits to 1 organization
I20141211001302 PA Practitioner - Psychiatry 2264322098 Reassigns benefits to 1 organization
I20160627000847 NC Practitioner - Psychiatry 2264322098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Service Association of Bucks CountyGroup PAC ID 1456346246, 6 clinicians

Practice addresses (Care Compare)

4 Cornerstone Dr
Langhorne, PA 19047-1314
Phone (215) 757-6916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32360KYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Behavioral Health NC LLC Current Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Jun 1, 2018 Accepting new patients
Family Service Association of Bucks County CurrentSince Mar 23, 2020 Accepting new patients
Rha Health Services, Inc CurrentSince May 4, 2016 Accepting new patients
Seven Counties Services, Inc. Psychiatry CurrentSince May 13, 1996 Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Jun 1, 2018 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Rha Health Services Inc CurrentSince May 4, 2016 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

486 Spaulding Rd
#B
Marion, NC 28752
Phone (828) 652-2919

4 Cornerstone Dr
Langhorne, PA 19047

Organizations & group practices 8

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1174534036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST S",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404477089",
            "telephone_number": "859-626-7700",
            "fax_number": "859-626-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753839",
            "telephone_number": "859-626-7700",
            "fax_number": "859-626-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBECK",
        "first_name": "BARRY",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "32360",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "LT3548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE - KENTUCKY",
            "identifier": "32360",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE - NORTH CAROLINA",
            "identifier": "9900330",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100142440",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.