Lee J Amburgey, PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0036 Issued in KY

Practice address

3701 Lansdowne Drive
Ashland, KY 41102

Phone

(606) 324-3005

Fax

(660) 632-9153

NPI assigned

Aug 15, 2006

Last updated

Nov 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1467565507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050790",
            "telephone_number": "606-329-8588",
            "fax_number": "606-329-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 LANSDOWNE DRIVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41102",
            "telephone_number": "606-324-3005",
            "fax_number": "660-632-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBURGEY",
        "first_name": "LEE",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "0036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000359706",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa G Alley, MED
• Alliance Healthcare Services Inc
• Hala M Alshayeb, MD
• Amanda L Hamilton MD PSC
• Ambulatory Neurological Services, LLC
• Aleceia Lee Anderson, LCSW
• Beth Ann Anderson, CRNA
• Anesthesia Physicians Care, PSC
• Mark Todd Angel II, PHARMD
• Appalachian Health and Wellness Center, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.