Active NPI
Vincent Bernard Dummer, PSY.D.
- Psychologist
- Lexington, KY
National Provider Identifier
1801876990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0534
- Practice address
- 436 W Second St
Lexington, KY 40507-1040 - Phone
- (859) 231-7137
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0534 | KY | Primary |
Addresses
Primary practice location
436 W Second St
Lexington, KY 40507-1040
Mailing address
436 W Second St
Lexington, KY 40507-1040
Phone (859) 231-7137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081208000169 | KY | Practitioner - Clinical Psychologist | 8325109473 | Practice locations: Lexington, KY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
436 W 2ND St
Lexington, KY 40507-1040
Phone (859) 231-7137
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0534 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky River Community Care, Inc | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1801876990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 W SECOND ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405071040",
"telephone_number": "859-231-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 W SECOND ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405071040",
"telephone_number": "859-231-7137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMMER",
"first_name": "VINCENT",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "0534",
"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 Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.