Organization Active NPI

Michele Amburgey M a Certified Psychologist PSC

  • Clinical Psychologist
  • Whitesburg, KY
National Provider Identifier
1992061501
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0148 Issued in KY
Legal business name
MICHELE AMBURGEY M A CERTIFIED PSYCHOLOGIST PSC
Practice address
84 E Main St
Suite a
Whitesburg, KY 41858-7254
Phone
(606) 633-0035
Fax
(606) 633-0035
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Michele Amburgey, M.A.
Title
Psychologist
Phone
(606) 633-0035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0148 KY Primary

Addresses

Primary practice location

84 E Main St
Suite a
Whitesburg, KY 41858-7254

Mailing address

PO Box 538
Whitesburg, KY 41858-0538
Phone (606) 633-0035

National Provider Directory

National Provider Directory

Locations

84 E Main St
Ste A
Whitesburg, KY 41858
Phone (606) 633-0035

115 E Main St
Ste B
Whitesburg, KY 41858
Phone (606) 633-0035

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1992061501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418580538",
            "telephone_number": "606-633-0035",
            "fax_number": "606-633-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 E MAIN ST",
            "address_2": "SUITE A",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587254",
            "telephone_number": "606-633-0035",
            "fax_number": "606-633-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE AMBURGEY M A CERTIFIED PSYCHOLOGIST PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "AMBURGEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "606-633-0035",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "0148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.