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PADUCAH PSYCHIATRY GROUP PSC NPI 1558419978


NPI Information

NPI: 1558419978
Provider Name: PADUCAH PSYCHIATRY GROUP PSC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
100 FOUNTAIN AVE
SUITE 301
PADUCAH, KY
ZIP 42001
Phone: (270) 443-8195
Get Directions

PADUCAH PSYCHIATRY GROUP PSC is a psychiatry psychiatry neurology in Paducah, 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. PADUCAH PSYCHIATRY GROUP PSC NPI is 1558419978. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 FOUNTAIN AVE
SUITE 301
PADUCAH, KY
ZIP 42001-774
Phone: (270) 443-8195
Fax: (270) 444-7922

The provider's authorized official is David A Meyer .
The authorized official title is President and has the following contact phone number (270) 443-8195.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/18/2008.


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 & NeurologyPsychiatry20671KENTUCKYYes

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
11296301MEDICARE ID-TYPE UNSPECIFIED
2000000049057OTHERKENTUCKYBCBS
300511500OTHERMAGELLAN
42963MEDICARE PIN
564206717MEDICAIDKENTUCKY
6C74105MEDICARE UPIN

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: 4/28/2024

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