Active NPI
David J Lindberg, M.S.
- Clinical Psychologist
- Flemingsburg, KY
National Provider Identifier
1992850713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0209
- Practice address
- 610 Elizaville Ave
Flemingsburg, KY 41041-1140 - Phone
- (606) 849-2212
- Fax
- (606) 849-2242
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0209 | KY | Primary |
Addresses
Primary practice location
610 Elizaville Ave
Flemingsburg, KY 41041-1140
Mailing address
610 Elizaville Ave
Flemingsburg, KY 41041-1140
Phone (606) 849-2212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30608012 | Medicaid | KY |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0209 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehend Inc Regional Mental Health- Mental Retardation Board Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Maysville, KY
- NPI 1720019987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992850713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 ELIZAVILLE AVE",
"city": "FLEMINGSBURG",
"state": "KY",
"postal_code": "410411140",
"telephone_number": "606-849-2212",
"fax_number": "606-849-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 ELIZAVILLE AVE",
"city": "FLEMINGSBURG",
"state": "KY",
"postal_code": "410411140",
"telephone_number": "606-849-2212",
"fax_number": "606-849-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDBERG",
"first_name": "DAVID",
"middle_name": "J",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "0209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30608012",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flemingsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.