Beaumont Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BEAUMONT PSYCHIATRY PLLC

Practice address

3070 Lakecrest Cir
Suite 400, Pmb197
Lexington, KY 40513-1937

Phone

(859) 737-0904

Fax

(859) 737-0902

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Cletus Savio Carvalho

Title

Authorized Official

Phone

(859) 263-3888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Rondal Goble, MD

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1952321515
  NPD (past)
• David Shraberg, MD

  • Psychiatry Physician
  • Lexington, KY
  • NPI 1902816010
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1457736910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 LAKECREST CIR",
            "address_2": "SUITE 400, PMB 197",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 LAKECREST CIR",
            "address_2": "SUITE 400, PMB197",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131937",
            "telephone_number": "859-737-0904",
            "fax_number": "859-737-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "CARVALHO",
        "authorized_official_first_name": "CLETUS",
        "authorized_official_middle_name": "SAVIO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "859-263-3888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64059330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaumont Behavioral Health PSC
• Beaumont Dental Associates, PLLC
• Beaumont Family Dentistry at Leestown
• Beaumont Integrated Medicine PSC
• Beaumont Kids Dre LLC
• Heidi Beavan, APRN
• Emily Beaven, PA
• Lauren Swartzbaugh Beaven, MD
• Nicole Cutshaw Beaven, CRNA
• Craig James Beavers, PHARMD

• 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 Jun 14, 2019; 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.