Oldham County Assessment & Psychological Service

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1469 Issued in KY

Legal business name

OLDHAM COUNTY ASSESSMENT & PSYCHOLOGICAL SERVICE

Practice address

6402 W Highway 146
Crestwood, KY 40014-9508

Phone

(502) 243-4280

Fax

(502) 243-4279

NPI assigned

Apr 16, 2009

Last updated

Apr 16, 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

Jeffrey L. Hicks, PHD

Title

Practice Manager

Phone

(502) 243-4280

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1407099724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 W HIGHWAY 146",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149508",
            "telephone_number": "502-243-4280",
            "fax_number": "502-243-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 W HIGHWAY 146",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149508",
            "telephone_number": "502-243-4280",
            "fax_number": "502-243-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDHAM COUNTY ASSESSMENT & PSYCHOLOGICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "502-243-4280",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "KY",
            "license": "1469",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "39287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurodiagnostic Associates, LLC
• Danny Nguyen
• Tu K Nguyen, PHARMD
• Tammy Nischan
• Alison Claire Oesterritter
• Oldham County Foot & Ankle PLLC
• Mary E Olson, MS
• On Track Speech Therapy, LLC
• On-Site Enterprises of Oldham,LLC
• Osting Psychiatry & Wellness, PLLC

• Psychologist in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.