NPIMap

Organization Active NPI

Bowling Green-Warren County Community Hospital Corporation

Doing business as Medical Center Psychiatry

  • Psychiatry Physician
  • Bowling Green, KY
National Provider Identifier
1184016123
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Doing business as
Medical Center Psychiatry
Practice address
350 Park St
204
Bowling Green, KY 42101-1784
Phone
(270) 843-5103
Fax
(270) 843-5104
NPI assigned
Feb 27, 2015
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Michele Lawless
Title
Executive Vice President / Cfo
Phone
(270) 745-1500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X KY
Clinical Psychologist 103TC0700X KY
Clinical Social Worker 1041C0700X KY
Psychiatry Physician 2084P0800X KY Primary

Addresses

Primary practice location

350 Park St
204
Bowling Green, KY 42101-1784

Mailing address

PO Box 117924
Atlanta, GA 30368-7924
Phone (270) 843-5103

Other identifiers 5

IdentifierTypeStateIssuer
000000928950OtherKYANTHEM
7100346960MedicaidKY
7100342590MedicaidKY
7100365240MedicaidKY
7100342580MedicaidKY

Other names 1

  • Medical Center Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150402002095 KY Part B Supplier - Clinic/Group Practice 7719899947 Receives reassigned benefits from 14 practitioners
Practice locations: Bowling Green, KY

National Provider Directory

National Provider Directory
Tax ID family
Bowling Green Warren County Community Hospital Corporation42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

350 Park St
Ste 204
Bowling Green, KY 42101
Phone (270) 796-6333

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1184016123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117924",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687924",
            "telephone_number": "270-843-5103",
            "fax_number": "270-843-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARK ST",
            "address_2": "204",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011784",
            "telephone_number": "270-843-5103",
            "fax_number": "270-843-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "LAWLESS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT / CFO",
        "authorized_official_telephone_number": "270-745-1500"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000928950",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100346960",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100342590",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100365240",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100342580",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Center Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.