J.M. Petit, M.D. P.S.C.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

J.M. PETIT, M.D. P.S.C.

Practice address

20 N Grand Ave
Suite 1
Fort Thomas, KY 41075-4106

Phone

(859) 781-0431

Fax

(859) 781-0473

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. James Michael Petit, M.D.

Title

Owner

Phone

(859) 781-0431

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1508168436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N GRAND AVE",
            "address_2": "SUITE 1",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754106",
            "telephone_number": "859-781-0431",
            "fax_number": "859-781-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N GRAND AVE",
            "address_2": "SUITE 1",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754106",
            "telephone_number": "859-781-0431",
            "fax_number": "859-781-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.M. PETIT, M.D. P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "PETIT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-781-0431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niesje Hunter, DMD
• Jessica Hyden, APRN
• Lauren Krabacher Imhoff
• Independent Anesthesiologists, PSC
• Jean Marie Ireland-Eggerth, MSW
• Suzanne Jardine-Lehman, MA
• Jerry W Conners MD PSC
• Meredith Joan Johnson, OTR/L
• JVM Cosmetic and Wellness Spa LLC
• Samuel Isaac Kaiser, OTR/L

• Geriatric Psychiatry Physician in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Geriatric Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.