Organization Active NPI

East Kentucky Psychological Services Inc.

  • Community/Behavioral Health Agency
  • Paintsville, KY
National Provider Identifier
1528254265
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0019 Issued in KY
Legal business name
EAST KENTUCKY PSYCHOLOGICAL SERVICES INC.
Practice address
232 Main St
Paintsville, KY 41240-1040
Phone
(606) 788-0406
NPI assigned
Sep 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Mr. Phil Pack
Title
Psychologist
Phone
(606) 788-0406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0019 KY Primary

Addresses

Primary practice location

232 Main St
Paintsville, KY 41240-1040

Mailing address

232 Main St
Paintsville, KY 41240-1040

National Provider Directory

National Provider Directory

Locations

107 N Cumberland Ave
Harlan, KY 40831
Phone (606) 788-0406

232 Main St
Ste 206
Paintsville, KY 41240
Phone (606) 788-0406

232 Main St
Paintsville, KY 41240
Phone (606) 788-0406

419 Town Mountain Rd
Ste 205
Pikeville, KY 41501
Phone (606) 788-0406

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1528254265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MAIN ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MAIN ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401040",
            "telephone_number": "606-788-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST KENTUCKY PSYCHOLOGICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "606-788-0406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "0019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.