Organization Active NPI

Sharad Patel LLC

  • Adult Mental Health Clinic/Center
  • Elizabethtown, KY
National Provider Identifier
1962787572
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
20851 Issued in KY
Legal business name
SHARAD PATEL LLC
Practice address
1230 Woodland Dr Ste 210
Elizabethtown, KY 42701-2792
Phone
(270) 300-2468
Fax
(270) 360-1619
NPI assigned
Oct 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Sharad Patel, M.D.
Title
Psychiatrist
Phone
(270) 300-2468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 20851 KY Primary

Addresses

Primary practice location

1230 Woodland Dr Ste 210
Elizabethtown, KY 42701-2792

Mailing address

1230 Woodland Dr Ste 210
Elizabethtown, KY 42701-2792
Phone (270) 300-2468

National Provider Directory

National Provider Directory

Locations

1230 Woodland Dr
Ste 210
Elizabethtown, KY 42701
Phone (270) 300-2468

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1962787572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 WOODLAND DR STE 210",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012792",
            "telephone_number": "270-300-2468",
            "fax_number": "270-360-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 WOODLAND DR STE 210",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012792",
            "telephone_number": "270-300-2468",
            "fax_number": "270-360-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARAD PATEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHARAD",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "270-300-2468",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "KY",
            "license": "20851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.