Organization Active NPI

Lexington Child and Adolescent Psychiatry

  • Child & Adolescent Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1255621371
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
28004 Issued in KY
Legal business name
LEXINGTON CHILD AND ADOLESCENT PSYCHIATRY
Practice address
3270 Blazer Pkwy
Suite 101
Lexington, KY 40509-2115
Phone
(859) 264-1182
Fax
(859) 263-1187
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Tamela G Gilbert, MDNPI 1457361586
Title
Owner
Phone
(859) 264-1182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 28004 KY Primary

Addresses

Primary practice location

3270 Blazer Pkwy
Suite 101
Lexington, KY 40509-2115

Mailing address

3270 Blazer Pkwy
Suite 101
Lexington, KY 40509-2115
Phone (859) 264-1182

National Provider Directory

National Provider Directory

Locations

3270 Blazer Pkwy
Ste 101
Lexington, KY 40509
Phone (859) 264-1182

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1255621371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 BLAZER PKWY",
            "address_2": "SUITE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092115",
            "telephone_number": "859-264-1182",
            "fax_number": "859-263-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 BLAZER PKWY",
            "address_2": "SUITE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092115",
            "telephone_number": "859-264-1182",
            "fax_number": "859-263-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON CHILD AND ADOLESCENT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "TAMELA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-264-1182",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "28004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.