Individual provider Active NPI

Julie K Hideg, PSY.D.

  • Psychologist
  • Paducah, KY
National Provider Identifier
1669485934
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1317 Issued in KY
Practice address
2204 Kentucky Ave
Psychological Associates of Paducah
Paducah, KY 42003-3242
Phone
(270) 442-8785
Fax
(270) 443-1784
NPI assigned
Aug 15, 2006
Last updated
Jun 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1317 KY Primary

Addresses

Primary practice location

2204 Kentucky Ave
Psychological Associates of Paducah
Paducah, KY 42003-3242

Mailing address

2204 Kentucky Ave
Psychological Associates of Paducah
Paducah, KY 42003-3242
Phone (270) 442-8785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000164 KY Practitioner - Clinical Psychologist 4981668126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2315 Broadway St
Paducah, KY 42001-7113
Phone (270) 442-8785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1317KYMDAddiction (Substance Use Disorder) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Kraus Hideg PSYD and Associates PLLC CurrentSince Sep 11, 2006 Accepting new patients
Compass Counseling, LLC PastSince May 1, 2018 Accepting new patients

Locations

2204 Kentucky Ave
Paducah, KY 42003
Phone (270) 442-8785

2315 Broadway St
Paducah, KY 42001
Phone (270) 442-8785

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1669485934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 KENTUCKY AVE",
            "address_2": "PSYCHOLOGICAL ASSOCIATES OF PADUCAH",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033242",
            "telephone_number": "270-442-8785",
            "fax_number": "270-443-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 KENTUCKY AVE",
            "address_2": "PSYCHOLOGICAL ASSOCIATES OF PADUCAH",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033242",
            "telephone_number": "270-442-8785",
            "fax_number": "270-443-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDEG",
        "first_name": "JULIE",
        "middle_name": "K",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "1317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.