Freedom Psychiatry, PLLC

Key facts

NPI

1962645853

Entity type

Organization (NPI type 2)

Primary specialty

Psychiatric/Mental Health Registered Nurse 163WP0808X

License

5507P (KY)

Legal business name

FREEDOM PSYCHIATRY, PLLC

Practice address

489 Hammer Mill Rd
Wurtland, KY 41144-7798

Phone

(606) 776-6309

Fax

(800) 650-1424

NPI assigned

Apr 8, 2009

Organization subpart

No

Authorized official

Name

William Collins, ARNP

Title

Owner

Phone

(606) 776-6309

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 8, 2009.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1962645853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 HAMMER MILL RD",
            "city": "WURTLAND",
            "state": "KY",
            "postal_code": "411447798",
            "telephone_number": "606-776-6309",
            "fax_number": "800-650-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 HAMMER MILL RD",
            "city": "WURTLAND",
            "state": "KY",
            "postal_code": "411447798",
            "telephone_number": "606-776-6309",
            "fax_number": "800-650-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-776-6309",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "KY",
            "license": "5507P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Wurtland, KY · Psychiatric/Mental Health Registered Nurse in Kentucky