Active NPI
Sharad Patel LLC
- Adult Mental Health Clinic/Center
- Elizabethtown, KY
National Provider Identifier
1962787572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 20851
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.