GERIATRIC ESSENTIALS PC NPI 1043812696

NPI Information

  • NPI: 1043812696
  • Provider Name: GERIATRIC ESSENTIALS, PC
  • Classification: Psychiatry & Neurology - 2084P0805X
  • Specialization: Geriatric Psychiatry
  • Entity Type: Organization
  • Address: 402 W FARTHING ST
    MAYFIELD, KY
    ZIP 42066
  • Phone: (731) 571-8808

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NPI Details

GERIATRIC ESSENTIALS, PC is a geriatric psychiatry psychiatry neurology in Mayfield, KY. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. GERIATRIC ESSENTIALS, PC NPI is 1043812696. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

402 W FARTHING ST
MAYFIELD, KY
ZIP 42066-900
Phone: (731) 571-8808

The provider's authorized official is Susan K Lovelace .
The authorized official title is Billing/credentialing and has the following contact phone number (731) 410-7719.

The enumeration date for this NPI number is 11/9/2020 and was last updated on 11/9/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0805XPsychiatry & NeurologyGeriatric PsychiatryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100689200MEDICAIDKENTUCKY

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: 11/21/2025

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