Paintsville Behavioral Health, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PAINTSVILLE BEHAVIORAL HEALTH, INC

Doing business as

PBH: Hopkinsville

Practice address

1841 Peartree LN
Hopkinsville, KY 42240-4460

Phone

(606) 226-1530

NPI assigned

Dec 20, 2023

Last updated

Dec 20, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

PAINTSVILLE BEHAVIORAL HEALTH, INCAs reported in NPPES

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

Authorized official

Name

Dr. Cynthia Renee Crase, DSW, LCSW

Title

Program Director

Phone

(606) 226-1530

Specialties & licenses 1

Addresses

Other names 1

• PBH: Hopkinsville Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Paintsville Behavioral Health, Inc

  • Psychiatric/Mental Health Registered Nurse
  • Paintsville, KY
  • NPI 1083355424

  O20220701000549

  Same enrollment

Tax ID family

Paintsville Behavioral Health Inc2 organizations share this tax ID, including this one

Part of

Paintsville Behavioral Health Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paintsville Behavioral Health, Inc

  • Psychiatric/Mental Health Registered Nurse
  • Paintsville, KY
  • NPI 1083355424
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Paintsville Behavioral Health, Inc

  • Psychiatric/Mental Health Registered Nurse
  • Paintsville, KY
  • NPI 1083355424
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jimmy Dean Salyers Jr., LCSW

  • Clinical Social Worker
  • Hopkinsville, KY
  • NPI 1710624820
  NPD
• Lori Humphries, LCSW

  • Clinical Social Worker
  • Prestonsburg, KY
  • NPI 1922423763
  NPD (past)
• John Kevin Schmidt Jr., LPCC, LCADC

  • Mental Health Counselor
  • Bardstown, KY
  • NPI 1760089254
  NPD (past)

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1861260788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 PEARTREE LN",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404460",
            "telephone_number": "606-226-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 PEARTREE LN",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404460",
            "telephone_number": "606-226-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINTSVILLE BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAINTSVILLE BEHAVIORAL HEALTH, INC",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "CRASE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "606-226-1530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PBH: Hopkinsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Amelia Oxford, APRN
• Julie S P'Pool, APRN
• Laura V Padgett, MA/CCC/SLP
• Courtney Page
• Pain Management Centers of America, PSC
• Prasannalaxmi Palabindela, M.D
• Blake William Palmer, MA LPA
• Pam B. Koob, PHD, Arnp Dba Internal Medicine Associates
• Roshni Parag Parikh, DDS
• Kenneth L Parker, PA

• Clinical Social Worker in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.