Active NPI
Heartland Psychiatry, PLLC
- Psychiatry Physician
- Campbellsville, KY
National Provider Identifier
1225331820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 30071
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Glasgow, KY
- NPI 1063763571
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.