Organization Active NPI

Estill Behavioral Health, PLLC

  • Multi-Specialty Clinic/Center
  • Irvine, KY
National Provider Identifier
1679355697
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ESTILL BEHAVIORAL HEALTH, PLLC
Practice address
721 River Dr
Irvine, KY 40336-1255
Phone
(859) 749-8768
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Melissa Young-Flynn, APRNNPI 1235749581
Title
Aprn, Pmhnp-BC
Phone
(859) 749-8768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

721 River Dr
Irvine, KY 40336-1255

Mailing address

721 River Dr
Irvine, KY 40336-1255

National Provider Directory

National Provider Directory

Locations

721 River Dr
Irvine, KY 40336
Phone (859) 749-8768

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": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1679355697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 RIVER DR",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 RIVER DR",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361255",
            "telephone_number": "859-749-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTILL BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "YOUNG-FLYNN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "APRN, PMHNP-BC",
        "authorized_official_telephone_number": "859-749-8768",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.