Organization Active NPI

PJ's Primary Care Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Somerset, KY
National Provider Identifier
1801237557
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PJ'S PRIMARY CARE CENTER, INC.
Practice address
327 Clifty St
Somerset, KY 42501-1666
Phone
(606) 679-9009
Fax
(606) 678-9883
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Janice Clark, LPCC
Title
President
Phone
(606) 679-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

327 Clifty St
Somerset, KY 42501-1666

Mailing address

327 Clifty St
Somerset, KY 42501-1666
Phone (606) 679-9009

National Provider Directory

National Provider Directory

Locations

327 Clifty St
Somerset, KY 42501
Phone (606) 679-9009

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1801237557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 CLIFTY ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011666",
            "telephone_number": "606-679-9009",
            "fax_number": "606-678-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 CLIFTY ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011666",
            "telephone_number": "606-679-9009",
            "fax_number": "606-678-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJ'S PRIMARY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-679-9009",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.