Midlands Behavioral Medicine

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

177 Issued in KY

Legal business name

MIDLANDS BEHAVIORAL MEDICINE

Practice address

1406 N Main Street
Williamstown, KY 41097

Phone

(859) 824-5444

Fax

(859) 824-0960

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Judith W Noelker

Title

Owner President

Phone

(859) 824-5444

Specialties & licenses 1

Addresses

Locations

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.

• Peter James Ganshirt, PSY.D.

  • Clinical Psychologist
  • Crestview Hills, KY
  • NPI 1669504833
  NPD (past)
• Robert Michael Lind, PSYD CLINICAL PSYCHO

  • Psychologist
  • Crestview Hills, KY
  • NPI 1083760813
  NPD (past)
• Fariba Piroozmandi-Norgaard, LCSW

  • Clinical Social Worker
  • Mansfield, TX
  • NPI 1841471836
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1902092208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 N MAIN STREET",
            "city": "WILLIAMSTOWN",
            "state": "KY",
            "postal_code": "41097",
            "telephone_number": "859-824-5444",
            "fax_number": "859-824-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 N MAIN STREET",
            "city": "WILLIAMSTOWN",
            "state": "KY",
            "postal_code": "41097",
            "telephone_number": "859-824-5444",
            "fax_number": "859-824-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS BEHAVIORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "NOELKER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "859-824-5444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "KY",
            "license": "177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharla Lake, MA
• Karen S Levy, L.P.C.C.
• Jennifer Maddox, APRN
• Traci Maines, CSW
• Tristan Brooke McLean, SLP
• Abraham Morse, APRN
• Michelle Murphy, LPAT
• Julie Elizabeth Naas, OTR/L
• Michelle L Napier, ARNP
• Northern Kentucky Assessment and Treatment Inc

• Forensic Psychologist in Williamstown, KY
• Providers in Williamstown, KY by specialty
• Forensic Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.