John D Michelman, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

37523 Issued in KY

Practice address

1055 Wellington Way
Suite 110
Lexington, KY 40513-1259

Phone

(859) 219-2822

Fax

(859) 219-2825

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23387/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alc Resources LLC

  dba Central Kentucky Behavioral Health

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Lexington, KY
  • NPI 1386687192

  Child & Adolescent Psychiatry

  NPD (past)
• Counseling Association of Lexington

  dba Counseling Associates of Lexington

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1063738706
  NPD (past)
• John D Michelman, MD, PSC

  • Psychiatry Physician
  • Lexington, KY
  • NPI 1114192895
  NPD (past)
• SHC Medical Partners of Kentucky, LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1417132614
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1235249897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 WELLINGTON WAY",
            "address_2": "SUITE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131259",
            "telephone_number": "859-219-2822",
            "fax_number": "859-219-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELMAN",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "37523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64054257",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000364311",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Bass Plastic Surgery, PLLC
• Nardin A Michaels, PSYD
• Cara E Michaelsen, PA-C
• Christopher George Michas, MD
• Michelle a Kern DC PSC (Kern Chiropractic House of Health)
• Allison Michelone, DPT, PT
• Giuseppe Matthew Michelone, DPT
• Christina Lynn Michels
• Mid-South Anesthesia, PLLC
• Pamela R Midboe Penn, MD

• Child & Adolescent Psychiatry Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Child & Adolescent Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.