Individual provider Active NPI

Lacey K Price, PSY.D.

  • Clinical Neuropsychologist
  • Lexington, KY
National Provider Identifier
1861565210
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1514 Issued in KY
Practice address
711 Millpond Rd
Lexington, KY 40514-1561
Phone
(859) 428-8008
Fax
(859) 286-6444
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 19332 WI
Rehabilitation Psychologist 103TR0400X
Psychologist 103T00000X 129832 KY
Forensic Psychologist 103TF0200X
Health Psychologist 103TH0004X
Clinical Child & Adolescent Psychologist 103TC2200X
Health Service Psychologist 103TH0100X
Clinical Neuropsychologist 103G00000X 1514 KY Primary
Psychologist 103T00000X 19332 KY

Addresses

Primary practice location

711 Millpond Rd
Lexington, KY 40514-1561

Mailing address

711 Millpond Rd
Lexington, KY 40514-1561
Phone (859) 428-8008

Other practice location 1

1401 Harrodsburg Rd Ste B280
Lexington, KY 40504-1728
Phone (859) 313-4989

Other practice location 2

1031 Wellington Way
Ste 215
Lexington, KY 40513-1251
Phone (859) 428-8008

Other practice location 3

1095 Midway Rd
Menasha, WI 54952-1115
Phone (920) 720-2300

Other identifiers 1

IdentifierTypeStateIssuer
7100045890MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, WI, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231107002307 IN Practitioner - Clinical Psychologist 0547363319
I20241209002177 WI Practitioner - Clinical Psychologist 0547363319 Reassigns benefits to 1 organization
I20250117000896 KY Practitioner - Clinical Psychologist 0547363319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Practice addresses (Care Compare)

1095 Midway Rd
Menasha, WI 54952-1115
Phone (920) 720-2300

7800 Cornishville Rd
Harrodsburg, KY 40330-9534
Phone (920) 720-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1514KYMDMental Health Counselor
19332KYMDPsychologist
19332WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare, Incorporated CurrentSince Nov 2, 2024 Accepting new patients
Thedacare, Incorporated Clinical Neuropsychologist CurrentSince Nov 2, 2024 Accepting new patients
John P McDonough III Psychologist PastSince Oct 1, 2004 Accepting new patients
GPS II Health Service Past Accepting new patients

Locations

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

1095 Midway Rd
Menasha, WI 54952
Phone (920) 720-3700

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

Organizations & group practices 4

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1861565210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 MILLPOND RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141561",
            "telephone_number": "859-428-8008",
            "fax_number": "859-286-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MILLPOND RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141561",
            "telephone_number": "859-428-8008",
            "fax_number": "859-286-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Harrodsburg Rd Ste B280",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405041728",
            "country_code": "US",
            "telephone_number": "859-313-4989",
            "fax_number": "859-313-3390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 WELLINGTON WAY",
            "address_2": "STE 215",
            "address_purpose": "LOCATION",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131251",
            "country_code": "US",
            "telephone_number": "859-428-8008",
            "fax_number": "859-286-6444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 Midway Rd",
            "address_purpose": "LOCATION",
            "city": "Menasha",
            "state": "WI",
            "postal_code": "549521115",
            "country_code": "US",
            "telephone_number": "920-720-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "LACEY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "19332",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "129832",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "KY",
            "license": "1514",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "19332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100045890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.