Individual provider Active NPI

Timothy J Carbary, PH.D.

  • Clinical Neuropsychologist
  • Lexington, KY
National Provider Identifier
1477535250
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
KY-1308 Issued in KY
Practice address
261 Regency Cir
Suite 4
Lexington, KY 40503-2348
Phone
(859) 373-0133
Fax
(859) 373-8119
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X KY-1308 KY Primary

Addresses

Primary practice location

261 Regency Cir
Suite 4
Lexington, KY 40503-2348

Mailing address

261 Regency Cir
Suite 4
Lexington, KY 40503-2348
Phone (859) 373-0133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
KY-1308KYMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Services, PSC Clinical Neuropsychologist PastSince Oct 11, 2004 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477535250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 REGENCY CIR",
            "address_2": "SUITE 4",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032348",
            "telephone_number": "859-373-0133",
            "fax_number": "859-373-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 REGENCY CIR",
            "address_2": "SUITE 4",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032348",
            "telephone_number": "859-373-0133",
            "fax_number": "859-373-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBARY",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "KY",
            "license": "KY-1308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.