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Contact Information

BLUEGRASS HEALTH PSYCHOLOGY, INC.
2220 YOUNG DRIVE
LEXINGTON, KY40505-4219
 Phone: 859-277-1008
 Fax: 859-277-1083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BLUEGRASS HEALTH PSYCHOLOGY, INC.

NPI # 1619061470
LBN Legal business name BLUEGRASS HEALTH PSYCHOLOGY, INC.
Authorized official JONATHAN COLE - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 08/09/2022 - About 4 years ago
Identifiers
KY License # 1200
KY Medicaid 7100071880
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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