Organization Active NPI

Dr. Mary J. Lang & Associates

  • Psychiatry Physician
  • London, KY
National Provider Identifier
1215218508
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
44482 Issued in KY
Legal business name
DR. MARY J. LANG & ASSOCIATES
Practice address
449 Keavy Rd
London, KY 40744-8801
Phone
(606) 864-0009
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Dr. Mary Jean Lang, M.D.
Title
Psychiatrist
Phone
(606) 864-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 44482 KY Primary

Addresses

Primary practice location

449 Keavy Rd
London, KY 40744-8801

Mailing address

449 Keavy Rd
London, KY 40744-8801
Phone (606) 864-0009

Other identifiers 1

IdentifierTypeStateIssuer
7100156270MedicaidKY

National Provider Directory

National Provider Directory

Locations

449 Keavy Rd
London, KY 40744
Phone (606) 864-0009

512 Jackson St
London, KY 40741
Phone (606) 864-0009

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1215218508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 KEAVY RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448801",
            "telephone_number": "606-864-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 KEAVY RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448801",
            "telephone_number": "606-864-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARY J. LANG & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "606-864-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "44482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100156270",
            "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 Nov 2, 2011; 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.