Lexington Psychiatric Group, PSC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

02282 Issued in KY

Legal business name

LEXINGTON PSYCHIATRIC GROUP, PSC

Practice address

1030 Monarch St
Suite 100
Lexington, KY 40513-1843

Phone

(859) 296-0066

Fax

(859) 296-1155

NPI assigned

Sep 2, 2009

Last updated

Sep 2, 2009By 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

Charles I Shelton, D.O.

Title

Owner/President

Phone

(859) 296-0066

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1407089790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MONARCH ST",
            "address_2": "SUITE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131843",
            "telephone_number": "859-296-0066",
            "fax_number": "859-296-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MONARCH ST",
            "address_2": "SUITE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131843",
            "telephone_number": "859-296-0066",
            "fax_number": "859-296-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON PSYCHIATRIC GROUP, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "859-296-0066",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "02282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexington Podiatry PSC (Lexington Podiatry)
• Lexington Podiatry PSC
• Lexington Premier Nursing & Rehab LLC
• Lexington Primary Care Associates PLLC
• Lexington Primary Care LLC
• Lexington Radiation Therapy Center, P.S.C.
• Lexington Radiation Therapy Center, P.S.C.
• Lexington SNF Operations LLC (Lexington Premier Nursing & Rehab)
• Lexington Surgery Center LTD
• Lexington Surgical Services

• Psychiatry Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.