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MIDWEST PSYCHOLOGISTS PLLC NPI 1972613537


NPI Information

NPI: 1972613537
Provider Name: MIDWEST PSYCHOLOGISTS, PLLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
2525 LINCOLN FARM RD
HODGENVILLE, KY
ZIP 42748
Phone: (270) 304-6643
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MIDWEST PSYCHOLOGISTS, PLLC is a counselor in Hodgenville, KY. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MIDWEST PSYCHOLOGISTS, PLLC NPI is 1972613537. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2525 LINCOLN FARM RD
HODGENVILLE, KY
ZIP 42748-704
Phone: (270) 304-6643
Fax: (206) 888-6644

The provider's authorized official is Ben M. Goodman .
The authorized official title is Ceo/president and has the following contact phone number (270) 304-6643.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes
2101YA0400XCounselorAddiction (Substance Use Disorder)X
3101YM0800XCounselorMental HealthX
4101YP1600XCounselorPastoralX
5103T00000XPsychologistX
6103TA0400XPsychologistAddiction (Substance Use Disorder)X
7103TA0700XPsychologistAdult Development & AgingX
8103TB0200XPsychologistCognitive & BehavioralX
9103TC0700XPsychologistClinicalX
10103TC1900XPsychologistCounselingX
11103TC2200XPsychologistClinical Child & AdolescentX
12103TF0000XPsychologistFamilyX
13103TM1800XPsychologistIntellectual and Developmental DisabilitiesX
14103TP2701XPsychologistGroup PsychotherapyX

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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