Active NPI
Elliott Psychiatric Services, PLLC
- Psychiatry Physician
- Lexington, KY
National Provider Identifier
1336188788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ELLIOTT PSYCHIATRIC SERVICES, PLLC
- Practice address
- 851 Corporate Dr
Suite 203
Lexington, KY 40503-5428 - Phone
- (859) 219-0090
- Fax
- (859) 219-0339
- NPI assigned
- Jun 4, 2006
- Last updated
- Oct 18, 2012
- 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
- Robert E Elliott, M.D.
- Title
- President
- Phone
- (859) 219-0090
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
851 Corporate Dr
Suite 203
Lexington, KY 40503-5428
Mailing address
851 Corporate Dr
Suite 203
Lexington, KY 40503-5428
Phone (859) 219-0090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
851 Corporate Dr
Ste 203
Lexington, KY 40503
Phone (859) 219-0090
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatry Physician
- Lexington, KY
- NPI 1881691657
-
- Clinical Psychologist
- Lexington, KY
- NPI 1649277864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350518400000",
"number": "1336188788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 CORPORATE DR",
"address_2": "SUITE 203",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405035428",
"telephone_number": "859-219-0090",
"fax_number": "859-219-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 CORPORATE DR",
"address_2": "SUITE 203",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405035428",
"telephone_number": "859-219-0090",
"fax_number": "859-219-0339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLIOTT PSYCHIATRIC SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2012-10-18",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-219-0090",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"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 Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.