John Lee Cecil, PHD
Individual provider Active NPI Psychologist · Harold, KY
NPI 1194374207 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1194374207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 203 Right Penhook Rd
Harold, KY 41635-7008 - Phone
- (606) 454-7568
- NPI assigned
- Sep 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | |||
| Health Psychologist | 103TH0004X | |||
| Psychologist |
103T00000X | Yes | ||
| Health Service Psychologist | 103TH0100X |
Addresses
Primary practice location
203 Right Penhook Rd
Harold, KY 41635-7008
Mailing address
203 Right Penhook Rd
Harold, KY 41635-7008
Phone (606) 454-7568
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | compasspsychological@icloud.com | Health Information Exchange (HIE) |
Other providers in Harold, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.