DBT Center of Western Kentucky, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DBT CENTER OF WESTERN KENTUCKY, LLC

Practice address

1300 Andrea St
Suite 205
Bowling Green, KY 42104-3382

Phone

(270) 904-2260

Fax

(270) 781-9680

NPI assigned

Dec 9, 2011

Last updated

Jan 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua M Smith, LMSW BCDNPI 1093952426

Title

Owner

Phone

(270) 904-2260

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua M Smith, LMSW

  • Clinical Social Worker
  • Mason, MI
  • NPI 1093952426
  NPD (past) Authorized official

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1518235183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ANDREA ST",
            "address_2": "SUITE 205",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043382",
            "telephone_number": "270-904-2260",
            "fax_number": "270-781-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ANDREA ST",
            "address_2": "SUITE 205",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043382",
            "telephone_number": "270-904-2260",
            "fax_number": "270-781-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBT CENTER OF WESTERN KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-904-2260",
        "authorized_official_credential": "LMSW BCD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Renee Davis, APRN
• Taylor Renee Davis
• Meradeth Carroll Dawson
• Claudia Day
• Dba James R Toney
• Eduardo Go De Los Reyes, MD
• Terry R Dean, D.M.D.
• Emily Dearing
• Debbie Dillon LLC
• Abigail Debusk, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.