NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD NPI 1083816888

NPI Information

NPI: 1083816888
Provider Name: NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD

Doing Business As: NORTHKEY COMMUNITY CARE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
503 FARRELL DRIVE
COVINGTON, KY
ZIP 41011
Phone: (859) 578-3200
Get Directions

NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD is a mental health (including community mental health center) clinic center in Covington, KY. NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD NPI is 1083816888. The provider is registered as an organization entity type.
The provider Is Doing Business As Northkey Community Care.

The provider's business location address is:

503 FARRELL DRIVE
COVINGTON, KY
ZIP 41011
Phone: (859) 578-3200
Fax: (859) 578-3273

The provider's authorized official is Owen T Nichols .
The authorized official title is Ceo and has the following contact phone number (859) 578-3252.

The CLIA number assigned to this NPI record is 18D1086840 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 2/25/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	800084	KENTUCKY	Yes

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
1	33900275	MEDICAID	KENTUCKY

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »