Joseph Dickhaus, LPP
Individual provider Active NPI Clinical Psychologist · Owingsville, KY
NPI 1346471018 · NPPES record last updated May 29, 2020
Key facts
- NPI
- 1346471018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 166758 (KY)
- Practice address
- 664 Slate Ave
Owingsville, KY 40360 - Phone
- (606) 674-6690
- Fax
- (606) 674-6903
- NPI assigned
- Jul 29, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0945 | KY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Inc | Current |
Accepting new patients | |
| Pathways, Inc | Current |
Accepting new patients |
Locations
3701 Landsdowne Dr
Ashland, KY 41102
Phone (606) 324-3005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0945 | KY | |
| Clinical Psychologist | 103TC0700X | 166758 | KY | Yes |
Addresses
Primary practice location
664 Slate Ave
Owingsville, KY 40360
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30610026 | Medicaid | KY |
Other providers in Owingsville, KY
- Michelle Lynn Daugherty
- Glenn R Davis
- Melissa Deatley
- Kasey Denton
- Anthony Wayne Deveraux
- Craig Donaldson
- Stephen Donithan
- Sherri Duncan
- Courtney Renee Elam
- Lori Ann Ervin
All providers in Owingsville, KY · Clinical Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.