Bluegrass Psychological Services PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

KY 0467 Issued in KY

Legal business name

BLUEGRASS PSYCHOLOGICAL SERVICES PLLC

Practice address

343 Waller Ave
Suite 300
Lexington, KY 40504-2912

Phone

(859) 276-1836

Fax

(859) 276-0609

NPI assigned

Jun 17, 2010

Last updated

Oct 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harwell F Smith, PHDNPI 1275590648

Title

Owner

Phone

(859) 276-1836

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Harwell F Smith III, PH.D.

  • Clinical Psychologist
  • Lexington, KY
  • NPI 1275590648
  Authorized official Same address or phone

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1699096271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 WALLER AVE",
            "address_2": "SUITE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042912",
            "telephone_number": "859-276-1836",
            "fax_number": "859-276-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 WALLER AVE",
            "address_2": "SUITE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042912",
            "telephone_number": "859-276-1836",
            "fax_number": "859-276-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HARWELL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-276-1836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "KY 0467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bluegrass Public Health Consultants LLC
• Bluegrass Rape Crisis Center
• Bluegrass Recovery LLC
• Bluegrass Regional Imaging LLC
• Bluegrass Regional Imaging LLC

• Psychologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.