Bluegrass Behavioral Health PSC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

BLUEGRASS BEHAVIORAL HEALTH PSC

Practice address

1939 Goldsmith LN Ste 117
Louisville, KY 40218-3176

Phone

(502) 413-6400

Fax

(502) 749-8720

NPI assigned

Jun 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Robert W Byrd, MD

Title

President

Phone

(502) 413-6400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1831683879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 GOLDSMITH LN STE 117",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183176",
            "telephone_number": "502-413-6400",
            "fax_number": "502-749-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 GOLDSMITH LN STE 117",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183176",
            "telephone_number": "502-413-6400",
            "fax_number": "502-749-8720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Legends Ln Ste 130",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405053288",
            "country_code": "US",
            "telephone_number": "859-400-0123",
            "fax_number": "859-554-5443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836A US 31W Byp",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421012314",
            "country_code": "US",
            "telephone_number": "270-904-3499",
            "fax_number": "270-904-3472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUEGRASS BEHAVIORAL HEALTH PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-413-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Skies Mental Health, LLC
• Blue Sky Case Management, LLC
• Bluegrass Advanced Mental Health, LLC.
• Bluegrass Allergy and Asthma
• Bluegrass Allergy Asthma and Immunology PSC
• Bluegrass Bone & Joint PLLC
• Bluegrass Cardiology Associates PLLC
• Bluegrass Cardiology Associates PLLC
• Bluegrass Care Management Services
• Bluegrass Center for Autism

• Addiction Medicine (Family Medicine) Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Addiction Medicine (Family Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.