Active NPI
Barry Martin Rebeck, MD
- Psychiatry Physician
- Richmond, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 32360
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32360 | Other | KY | MEDICAL LICENSE - KENTUCKY |
| 9900330 | Other | NC | MEDICAL LICENSE - NORTH CAROLINA |
| 7100142440 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, PA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32360 | KY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rha Behavioral Health NC LLC | Current | Accepting new patients | |
| Rha Behavioral Health NC LLC | Current | Accepting new patients | |
| Family Service Association of Bucks County | Current | Accepting new patients | |
| Rha Health Services, Inc | Current | Accepting new patients | |
| Seven Counties Services, Inc. | Psychiatry | Current | Accepting new patients |
| Rha Behavioral Health NC LLC | Current | Accepting new patients | |
| Rha Health Services Inc | Current | Accepting new patients | |
| Rha Health Services Inc | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Langhorne, PA
- NPI 1144329111
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Louisville, KY
- NPI 1598793671
Psychiatry
-
- Community/Behavioral Health Agency
- Whiteville, NC
- NPI 1700318680
-
- Community/Behavioral Health Agency
- Concord, NC
- NPI 1447376306
-
- Community/Behavioral Health Agency
- Asheville, NC
- NPI 1164151080
-
- Community/Behavioral Health Agency
- Concord, NC
- NPI 1730548413
-
- Community/Behavioral Health Agency
- Winston Salem, NC
- NPI 1447693676
-
- Community/Behavioral Health Agency
- Yanceyville, NC
- NPI 1629489307
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.