Pennyroyal Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

800002 Issued in KY

Legal business name

PENNYROYAL SERVICES

Practice address

735 North Dr
Hopkinsville, KY 42240-2620

Phone

(270) 886-2205

Fax

(270) 886-5178

NPI assigned

Mar 18, 2010

Last updated

Mar 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David M Ptaszek, LCSWNPI 1902221336

Title

Executive Director

Phone

(270) 886-2205

Specialties & licenses 1

Addresses

Other names 1

• Pennyroyal Mental Health Center Other name

Locations

Practitioners 1

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.

• David Ptaszek, LCSW

  • Clinical Social Worker
  • Hopkinsville, KY
  • NPI 1902221336
  Authorized official Same address or phone

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1336463421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 NORTH DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402620",
            "telephone_number": "270-886-2205",
            "fax_number": "270-886-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 NORTH DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402620",
            "telephone_number": "270-886-2205",
            "fax_number": "270-886-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYROYAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "PTASZEK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-886-2205",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "KY",
            "license": "800002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennyroyal Mental Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pennyrile Radiology, PSC
• Pennyrile Urology PSC
• Pennyroyal Healthcare Services, Inc (Community Dental)
• Pennyroyal Healthcare Services, Inc.
• Pennyroyal Hospice, Inc.
• Holly Michelle Perez-Knight
• Francisco A Perez, RN
• Srinivasan Periyanayagam, MD
• Candice Perkins, FNP-BC
• Don L Perkins, MD

• Adult Mental Health Clinic/Center in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Adult Mental Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.