NPIMap

Organization Active NPI

Jon R Urey PHD PLLC

  • Clinical Psychologist
  • Elizabethtown, KY
National Provider Identifier
1811908262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
KY634 Issued in KY
Legal business name
JON R UREY PHD PLLC
Practice address
2608 Ring Rd
Suite 102
Elizabethtown, KY 42701-7945
Phone
(270) 763-9577
Fax
(270) 763-6938
NPI assigned
Aug 11, 2006
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
Dr. Jon R Urey, PHDNPI 1801846647
Title
Owner
Phone
(270) 763-9577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X KY634 KY Primary

Addresses

Primary practice location

2608 Ring Rd
Suite 102
Elizabethtown, KY 42701-7945

Mailing address

2608 Ring Rd
Suite 102
Elizabethtown, KY 42701-7945
Phone (270) 763-9577

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811908262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 RING RD",
            "address_2": "SUITE 102",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017945",
            "telephone_number": "270-763-9577",
            "fax_number": "270-763-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 RING RD",
            "address_2": "SUITE 102",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017945",
            "telephone_number": "270-763-9577",
            "fax_number": "270-763-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON R UREY PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UREY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-763-9577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "KY634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, 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.