Organization Active NPI

Neurodiversity Consultants, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Lexington, KY
National Provider Identifier
1790358760
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
NEURODIVERSITY CONSULTANTS, LLC
Practice address
713 Millpond Rd
Lexington, KY 40514-1570
Phone
(859) 780-3805
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Dr. Jessica M. Newland Psy.D., PSY.D.
Title
Licensed Psychologist/ Owner
Phone
(859) 333-2687

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

713 Millpond Rd
Lexington, KY 40514-1570

Mailing address

713 Millpond Rd
Lexington, KY 40514-1570
Phone (859) 780-3805

Other identifiers 1

IdentifierTypeStateIssuer
7100747780MedicaidKY

National Provider Directory

National Provider Directory

Locations

713 Millpond Rd
Lexington, KY 40514
Phone (859) 309-2877

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1790358760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 MILLPOND RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141570",
            "telephone_number": "859-780-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 MILLPOND RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141570",
            "telephone_number": "859-780-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIVERSITY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "PSY.D.",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M. NEWLAND",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/ OWNER",
        "authorized_official_telephone_number": "859-333-2687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100747780",
            "state": "KY"
        }
    ],
    "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 Jul 19, 2021; 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.