Active NPI
Paulina Fitzpatrick
- Psychologist
- Hazard, KY
National Provider Identifier
1689777013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0781
- Practice address
- 210 Black Gold Blvd
Arh Bariatrics, Suite 102, Arh Medical Mall
Hazard, KY 41701-2620 - Phone
- (606) 439-6819
- Fax
- (606) 439-6701
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0781 | KY | Primary |
Addresses
Primary practice location
210 Black Gold Blvd
Arh Bariatrics, Suite 102, Arh Medical Mall
Hazard, KY 41701-2620
Mailing address
210 Black Gold Blvd
Arh Bariatrics, Suite 102, Arh Medical Mall
Hazard, KY 41701-2620
Phone (606) 439-6819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0781 | KY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1689777013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 BLACK GOLD BLVD",
"address_2": "ARH BARIATRICS, SUITE 102, ARH MEDICAL MALL",
"city": "HAZARD",
"state": "KY",
"postal_code": "417012620",
"telephone_number": "606-439-6819",
"fax_number": "606-439-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 BLACK GOLD BLVD",
"address_2": "ARH BARIATRICS, SUITE 102, ARH MEDICAL MALL",
"city": "HAZARD",
"state": "KY",
"postal_code": "417012620",
"telephone_number": "606-439-6819",
"fax_number": "606-439-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "PAULINA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "0781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.