Organization Active NPI

Tranquil Moments, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stanford, KY
National Provider Identifier
1922035211
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2829P Issued in KY
Legal business name
TRANQUIL MOMENTS, PLLC
Practice address
704 E Main St
Stanford, KY 40484-1405
Phone
(606) 365-7007
Fax
(606) 365-7001
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gayle Denham, PHD, PMHNP, BCNPI 1467493882
Title
Owner
Phone
(606) 669-1507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2829P KY Primary

Addresses

Primary practice location

704 E Main St
Stanford, KY 40484-1405

Mailing address

PO Box 661
Stanford, KY 40484-0661
Phone (606) 365-7007

Other identifiers 2

IdentifierTypeStateIssuer
1179045OtherKYCHA
78028297MedicaidKY

National Provider Directory

National Provider Directory

Locations

702 E Main St
Stanford, KY 40484
Phone (859) 979-4641

704 E Main St
Stanford, KY 40484
Phone (606) 365-7007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922035211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404840661",
            "telephone_number": "606-365-7007",
            "fax_number": "606-365-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E MAIN ST",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841405",
            "telephone_number": "606-365-7007",
            "fax_number": "606-365-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL MOMENTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENHAM",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-669-1507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, PMHNP, BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KY",
            "license": "2829P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1179045",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78028297",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.