Organization Active NPI

Fazal and Associates PLLC

  • Psychiatry Physician
  • Pikeville, KY
National Provider Identifier
1205499175
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FAZAL AND ASSOCIATES PLLC
Practice address
255 Church St Ste 100
Pikeville, KY 41501-3499
Phone
(606) 791-6115
NPI assigned
Apr 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Farhan Fazal, MD
Title
Proprietor
Phone
(606) 791-6115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

255 Church St Ste 100
Pikeville, KY 41501-3499

Mailing address

150 Falcon Crest CT
Hazard, KY 41701-1432
Phone (606) 791-6115

National Provider Directory

National Provider Directory

Locations

255 Church St
Ste 100
Pikeville, KY 41501
Phone (606) 432-4494

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1205499175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FALCON CREST CT",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011432",
            "telephone_number": "606-791-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CHURCH ST STE 100",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013499",
            "telephone_number": "606-791-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAZAL AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "FAZAL",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "606-791-6115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.