Active NPI
K. Medford Moreland, PSY.D.
- Clinical Psychologist
- Lexington, KY
National Provider Identifier
1841330453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 692
- Practice address
- 2201 Regency Rd
Suite 502
Lexington, KY 40503-2335 - Phone
- (859) 276-4600
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 692 | KY | Primary |
Addresses
Primary practice location
2201 Regency Rd
Suite 502
Lexington, KY 40503-2335
Mailing address
2201 Regency Rd
Suite 502
Lexington, KY 40503-2335
Phone (859) 276-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 692 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841330453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 REGENCY RD",
"address_2": "SUITE 502",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032335",
"telephone_number": "859-276-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 REGENCY RD",
"address_2": "SUITE 502",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032335",
"telephone_number": "859-276-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELAND",
"first_name": "K.",
"middle_name": "MEDFORD",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "692",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.