Individual provider Active NPI

Caitlin Nmi Allen, PH.D.

  • Clinical Psychologist
  • Lexington, KY
National Provider Identifier
1891989646
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
169254 Issued in KY
Practice address
Department of Pediatrics 740 S Limestone St
Lexington, KY 40536-0847
Phone
(859) 257-8992
NPI assigned
Sep 4, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P2733 TN
Intellectual & Developmental Disabilities Psychologist 103TM1800X P2733 TN
Clinical Psychologist 103TC0700X 169254 KY Primary

Addresses

Primary practice location

Department of Pediatrics 740 S Limestone St
Lexington, KY 40536-0847

Mailing address

Department of Pediatrics 138 Leader Ave
Lexington, KY 40506-9983
Phone (859) 323-2089

Other practice location 1

73 Riverwalk Pl
Memphis, TN 38103-0847
Phone (901) 481-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171005002703 KY Practitioner - Clinical Psychologist 1658456983 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
169254KYMDClinical Psychologist
P2733TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Jul 23, 2017 Accepting new patients
University of Tennessee Past Accepting new patients

Locations

740 S Limestone
Lexington, KY 40536
Phone (859) 257-3253

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891989646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF PEDIATRICS 138 LEADER AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405069983",
            "telephone_number": "859-323-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF PEDIATRICS 740 S LIMESTONE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360847",
            "telephone_number": "859-257-8992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Riverwalk Pl",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381030847",
            "country_code": "US",
            "telephone_number": "901-481-2226",
            "fax_number": "901-578-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CAITLIN",
        "middle_name": "NMI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P2733",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "TN",
            "license": "P2733",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "169254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.