Organization Active NPI

Heartland Psychiatry, PLLC

  • Psychiatry Physician
  • Campbellsville, KY
National Provider Identifier
1225331820
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30071 Issued in KY
Legal business name
HEARTLAND PSYCHIATRY, PLLC
Practice address
1320 E Broadway St
Campbellsville, KY 42718-1596
Phone
(270) 469-8562
NPI assigned
Dec 21, 2010
Last updated
Mar 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Melissa Carter
Title
Credentials Coordinator
Phone
(270) 403-8082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30071 KY Primary

Addresses

Primary practice location

1320 E Broadway St
Campbellsville, KY 42718-1596

Mailing address

PO Box 1078
Campbellsville, KY 42719-1078
Phone (270) 469-8562

National Provider Directory

National Provider Directory

Locations

295 Campbellsville Byp
Ste 2
Campbellsvlle, KY 42718
Phone (270) 465-2023

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1225331820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427191078",
            "telephone_number": "270-469-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E BROADWAY ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181596",
            "telephone_number": "270-469-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALS COORDINATOR",
        "authorized_official_telephone_number": "270-403-8082"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "30071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.