NPIMap

Organization Active NPI

Bluegrass Regional Psychiatric Services Inc.

Doing business as Eastern State Hospital

  • Psychiatric Hospital
  • Lexington, KY
National Provider Identifier
1801823828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
BLUEGRASS REGIONAL PSYCHIATRIC SERVICES INC.
Doing business as
Eastern State Hospital
Practice address
627 W Fourth St
Lexington, KY 40508-1294
Phone
(859) 246-7363
Fax
(859) 246-7023
NPI assigned
Jun 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Erica L Odusanya, M.H.A
Title
Fiscal Office Manager
Phone
(859) 246-7363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

627 W Fourth St
Lexington, KY 40508-1294

Mailing address

627 W Fourth St
Lexington, KY 40508-1294
Phone (859) 246-7363

Other names 1

  • Eastern State Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth of Kentucky126 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801823828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 W FOURTH ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081294",
            "telephone_number": "859-246-7363",
            "fax_number": "859-246-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W FOURTH ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081294",
            "telephone_number": "859-246-7363",
            "fax_number": "859-246-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS REGIONAL PSYCHIATRIC SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODUSANYA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FISCAL OFFICE MANAGER",
        "authorized_official_telephone_number": "859-246-7363",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.H.A"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern State Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.