Organization Active NPI

C. Christopher. Allen, PH.D., P.S.C.

  • Clinical Psychologist
  • Lexington, KY
National Provider Identifier
1790977528
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0820 Issued in KY
Legal business name
C. CHRISTOPHER. ALLEN, PH.D., P.S.C.
Practice address
111 Dennis Dr
Lexington, KY 40503-2916
Phone
(859) 276-5243
Fax
(859) 260-1538
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Charles Christopher Allen, PH.D.
Title
President
Phone
(859) 263-2367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0820 KY Primary

Addresses

Primary practice location

111 Dennis Dr
Lexington, KY 40503-2916

Mailing address

111 Dennis Dr
Lexington, KY 40503-2916
Phone (859) 276-5243

National Provider Directory

National Provider Directory

Locations

111 Dennis Dr
Lexington, KY 40503
Phone (859) 240-2109

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1790977528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DENNIS DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032916",
            "telephone_number": "859-276-5243",
            "fax_number": "859-260-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DENNIS DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032916",
            "telephone_number": "859-276-5243",
            "fax_number": "859-260-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. CHRISTOPHER. ALLEN, PH.D., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-263-2367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "0820",
            "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 Jun 26, 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.