Organization Active NPI

Amend Psychological Services, PSC

  • Clinical Psychologist
  • Lexington, KY
National Provider Identifier
1740408095
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
KY-1067, OH-5037 Issued in KY
Legal business name
AMEND PSYCHOLOGICAL SERVICES, PSC
Practice address
1025 Dove Run Rd
Suite 304
Lexington, KY 40502-3588
Phone
(859) 269-6465
Fax
(859) 269-6401
NPI assigned
Apr 23, 2007
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Heidi M Carman, PH.D.
Title
Practice Manager
Phone
(859) 269-6465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X KY-1067, OH-5037 KY Primary

Addresses

Primary practice location

1025 Dove Run Rd
Suite 304
Lexington, KY 40502-3588

Mailing address

1025 Dove Run Rd
Suite 304
Lexington, KY 40502-3588
Phone (859) 269-6465

National Provider Directory

National Provider Directory

Locations

1025 Dove Run Rd
Ste 304
Lexington, KY 40502
Phone (859) 269-6465

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1740408095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 DOVE RUN RD",
            "address_2": "SUITE 304",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023588",
            "telephone_number": "859-269-6465",
            "fax_number": "859-269-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 DOVE RUN RD",
            "address_2": "SUITE 304",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023588",
            "telephone_number": "859-269-6465",
            "fax_number": "859-269-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEND PSYCHOLOGICAL SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "CARMAN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "859-269-6465",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "KY-1067, OH-5037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.