Owensboro Behavioral Care PSC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

01045882A Issued in KY

Legal business name

OWENSBORO BEHAVIORAL CARE PSC

Practice address

920 Frederica St Ste 407
Owensboro, KY 42301-3079

Phone

(270) 316-9616

Fax

(812) 359-4481

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Oluwole O Olusola, MD

Title

Owner

Phone

(812) 971-8222

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Julie Michele Bellamy, LCSW

  • Clinical Social Worker
  • Evansville, IN
  • NPI 1750370581
  NPD (past)
• Janis Elizabeth Lotfalian, LCSW LMFT

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1548258791
  NPD (past)
• Allen Monroe Toy II, LCSW

  • Clinical Social Worker
  • Newburgh, IN
  • NPI 1477541613
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1285823971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 407",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013079",
            "telephone_number": "270-316-9616",
            "fax_number": "812-359-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 407",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013079",
            "telephone_number": "270-316-9616",
            "fax_number": "812-359-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO BEHAVIORAL CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "OLUSOLA",
        "authorized_official_first_name": "OLUWOLE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-971-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "01045882A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN KY",
            "identifier": "000000051385",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64306046",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adetola A. Otesile, MD
• Elizabeth Hawkins Ottman, MD
• Melissa Joyce Owens, ARNP
• Owensboro Ambulatory Surgical Facility LTD
• Owensboro Anesthesia Services, PLLC
• Owensboro Board of Education
• Owensboro Cancer Center PSC
• Owensboro Center for Oral & Maxillofacial Surgery, PLLC
• Owensboro Dermatology Associates
• Owensboro Dermatology Associates, PSC

• Professional Counselor in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.