National Provider Identifier Database

COMMONWEALTH OF KENTUCKY
Psychiatry

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.


Contact Information

COMMONWEALTH OF KENTUCKY
2400 RUSSELLVILLE RD
US 68 EAST
HOPKINSVILLE, KY42241
Phone: 502-886-4431
Fax: 270-886-4487
Website:
Specialty Taxonomy Code
* Psychiatry 2084P0800X
Intermediate Care Facility, Mentally Retarded 315P00000X
Nursing Facility/Intermediate Care Facility 313M00000X

* Indicates primary specialty

NPI Profile & details for COMMONWEALTH OF KENTUCKY

NPI Number 1134124167
Legal business name
LBN
COMMONWEALTH OF KENTUCKY
Authorized official JENNIFER MOORE - (ASSISTANT DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 06/16/2005
Last updated 08/07/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 100490
  • KY Medicaid: 12400024

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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