NPIMap

Organization Active NPI

Northern Kentucky Mental Health Mental Retardation Regional Board

Doing business as Northkey Community Care

  • Psychiatric Hospital
  • Covington, KY
National Provider Identifier
1679775514
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
100265 Issued in KY
Legal business name
NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD
Doing business as
Northkey Community Care
Practice address
503 Farrell Dr
Covington, KY 41011-3775
Phone
(859) 578-3200
NPI assigned
Jun 4, 2007
Last updated
May 18, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Owen T Nichols, PSY.D.
Title
President
Phone
(859) 578-3200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 800084 KY
Psychiatric Hospital 283Q00000X 100265 KY Primary
Community Psychiatric/Mental Health Clinical Nurse Specialist 364SP0812X 800084 KY

Addresses

Primary practice location

503 Farrell Dr
Covington, KY 41011-3775

Mailing address

503 Farrell Dr
Covington, KY 41011-3775
Phone (859) 578-3200

Other identifiers 1

IdentifierTypeStateIssuer
02021350MedicaidKY

Other names 1

  • Northkey Community Care Doing business as

National Provider Directory

National Provider Directory
Part of
Northern Ky Comp Care

Locations

19 E Pike St
Covington, KY 41011
Phone (859) 491-1348

503 Farrell Dr
Covington, KY 41011
Phone (606) 578-3214

513 Madison Ave
Fl 4
Covington, KY 41011

722 Scott St
Covington, KY 41011
Phone (859) 431-1888

7075 Industrial Rd
Florence, KY 41042
Phone (859) 282-1770

1201 S Fort Thomas Ave
Fort Thomas, KY 41075
Phone (859) 781-5586

718 Columbia St
Newport, KY 41071
Phone (859) 491-6510

308 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-4442

Practitioners & affiliated clinicians

Practitioners 290

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.

View all 290

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1679775514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113775",
            "telephone_number": "859-578-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113775",
            "telephone_number": "859-578-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD",
        "enumeration_date": "2007-06-04",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-578-3200",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "800084",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "KY",
            "license": "100265",
            "primary": true
        },
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "KY",
            "license": "800084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02021350",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northkey Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.