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COMMONWEALTH OF KENTUCKY NPI 1598056210


NPI Information

NPI: 1598056210
Provider Name: COMMONWEALTH OF KENTUCKY

Doing Business As: CENTRAL STATE HOSPITAL PHYSICIANS

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
10510 LAGRANGE ROAD
LOUISVILLE, KY
ZIP 40223
Phone: (502) 253-7000
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COMMONWEALTH OF KENTUCKY is a psychiatry psychiatry neurology in Louisville, KY. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. COMMONWEALTH OF KENTUCKY NPI is 1598056210. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Central State Hospital Physicians.

The provider's business location address is:

10510 LAGRANGE ROAD
LOUISVILLE, KY
ZIP 40223
Phone: (502) 253-7000
Fax: (503) 253-7090

The provider's authorized official is Stephanie Craycraft .
The authorized official title is Director and has the following contact phone number (502) 782-6243.

The enumeration date for this NPI number is 4/28/2011 and was last updated on 7/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryNo
22084P0800XPsychiatry & NeurologyPsychiatryKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18019MEDICARE PINKENTUCKY
265945396MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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