Active NPI
Donald G. Beal, PH.D.
- Cognitive & Behavioral Psychologist
- Lexington, KY
National Provider Identifier
1942402367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- KY-0578
- Practice address
- 274 Southland Dr Ste 204
Lexington, KY 40503-1946 - Phone
- (859) 278-3456
- NPI assigned
- Jun 5, 2007
- Last updated
- Jan 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | KY-0578 | KY | Primary |
| Clinical Psychologist | 103TC0700X | KY-0578 | KY | |
| Forensic Psychologist | 103TF0200X | KY-0578 | KY |
Addresses
Primary practice location
274 Southland Dr Ste 204
Lexington, KY 40503-1946
Mailing address
1977 Twain Ridge Dr
Lexington, KY 40514-1806
Phone (859) 223-8062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-0578 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1942402367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1977 TWAIN RIDGE DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405141806",
"telephone_number": "859-223-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 SOUTHLAND DR STE 204",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031946",
"telephone_number": "859-278-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAL",
"first_name": "DONALD",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "KY",
"license": "KY-0578",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "KY-0578",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "KY",
"license": "KY-0578",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.