NPIMap

Organization Active NPI

Spectrum Care Academy, Inc.

  • Psychiatric Residential Treatment Facility
  • London, KY
National Provider Identifier
1194936765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
950024 Issued in KY
Legal business name
SPECTRUM CARE ACADEMY, INC.
Practice address
1390 Lick Fork Rd
London, KY 40741-9534
Phone
(606) 862-6664
Fax
(606) 862-6783
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Loy
Title
Accountant
Phone
(270) 384-6402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 950024 KY Primary

Addresses

Primary practice location

1390 Lick Fork Rd
London, KY 40741-9534

Mailing address

PO Box 911
Columbia, KY 42728-0911
Phone (270) 384-6444

Other identifiers 1

IdentifierTypeStateIssuer
04000071MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Care Academy Bluegrass I10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194936765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427280911",
            "telephone_number": "270-384-6444",
            "fax_number": "270-384-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 LICK FORK RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407419534",
            "telephone_number": "606-862-6664",
            "fax_number": "606-862-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM CARE ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "270-384-6402"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KY",
            "license": "950024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04000071",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.