NPIMap

Organization Active NPI

Northern Kentucky Psychiatry Assoc

  • Psychiatry Physician
  • Ft Mitchell, KY
National Provider Identifier
1437108099
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NORTHERN KENTUCKY PSYCHIATRY ASSOC
Practice address
2380 Grandview Dr
Ft Mitchell, KY 41017-1633
Phone
(859) 331-7234
Fax
(859) 578-7986
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Agustina A. Baluyot, M.D.
Title
President
Phone
(859) 331-7234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

2380 Grandview Dr
Ft Mitchell, KY 41017-1633

Mailing address

2380 Grandview Dr
Ft Mitchell, KY 41017-1633
Phone (859) 331-7234

Other identifiers 4

IdentifierTypeStateIssuer
5796OtherKYANTHEM
079122000OtherKYMAGELLAN
65930505MedicaidKY
7100199660MedicaidKY

National Provider Directory

National Provider Directory

Locations

2380 Grandview Dr
Bldg B
Ft Mitchell, KY 41017
Phone (859) 331-7234

2380 Grandview Dr
Ft Mitchell, KY 41017
Phone (859) 331-7234

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1437108099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 GRANDVIEW DR",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410171633",
            "telephone_number": "859-331-7234",
            "fax_number": "859-578-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 GRANDVIEW DR",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410171633",
            "telephone_number": "859-331-7234",
            "fax_number": "859-578-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN KENTUCKY PSYCHIATRY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "BALUYOT",
        "authorized_official_first_name": "AGUSTINA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-331-7234",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "5796",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "079122000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65930505",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100199660",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Mitchell, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.