Active NPI
Center for Collaborative Medicine Inc
- Neurology Physician
- Florence, KY
National Provider Identifier
1295123776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- CENTER FOR COLLABORATIVE MEDICINE INC
- Practice address
- 6425 Dixie Hwy
Florence, KY 41042-2101 - Phone
- (859) 282-0431
- Fax
- (859) 282-1482
- NPI assigned
- Jan 6, 2015
- 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
- Rebecca Singh, DC
- Title
- Owner
- Phone
- (859) 282-0431
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Neurology Chiropractor | 111NN0400X | |||
| Nutrition Chiropractor | 111NN1001X | |||
| Rehabilitation Chiropractor | 111NR0400X | |||
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | |||
| Neurology Physician | 2084N0400X | Primary | ||
| Sports Medicine (Psychiatry & Neurology) Physician | 2084S0010X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
6425 Dixie Hwy
Florence, KY 41042-2101
Mailing address
6425 Dixie Hwy
Florence, KY 41042-2101
Phone (859) 282-0431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100332990 | Medicaid | KY |
Other names 1
- Integrated Pain Solutions And Rehabilitation Inc
National Provider Directory
National Provider DirectoryLocations
711 E McMillan St
Cincinnati, OH 45206
Phone (513) 413-1885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444348800000",
"number": "1295123776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6425 DIXIE HWY",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410422101",
"telephone_number": "859-282-0431",
"fax_number": "859-282-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 DIXIE HWY",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410422101",
"telephone_number": "859-282-0431",
"fax_number": "859-282-1482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR COLLABORATIVE MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-06",
"last_updated": "2015-10-09",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-282-0431",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100332990",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrated Pain Solutions And Rehabilitation Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.