NPIMap

Organization Active NPI

Mindpsi: School Psychological Services, PLLC

  • Clinical Psychologist
  • Richmond, KY
National Provider Identifier
1245498872
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MINDPSI: SCHOOL PSYCHOLOGICAL SERVICES, PLLC
Practice address
1421 Lexington Rd
Richmond, KY 40475-1059
Phone
(859) 358-6791
Fax
(859) 624-2454
NPI assigned
May 30, 2008
Last updated
Feb 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Dan W Florell, PH.D.NPI 1093920894
Title
Ceo
Phone
(859) 358-6791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary
School Psychologist 103TS0200X

Addresses

Primary practice location

1421 Lexington Rd
Richmond, KY 40475-1059

Mailing address

1421 Lexington Rd
Richmond, KY 40475-1059
Phone (859) 358-6791

Other identifiers 1

IdentifierTypeStateIssuer
000000676498OtherANTHEM PIN

National Provider Directory

National Provider Directory

Locations

793 Eastern Byp
Ste 208
Richmond, KY 40475
Phone (859) 358-6791

Practitioners & affiliated clinicians

Practitioners 11

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": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1245498872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 LEXINGTON RD",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751059",
            "telephone_number": "859-358-6791",
            "fax_number": "859-624-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 LEXINGTON RD",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751059",
            "telephone_number": "859-358-6791",
            "fax_number": "859-624-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDPSI: SCHOOL PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "FLORELL",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-358-6791",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000676498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.