National Provider Identifier Database

NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD
Psychiatric Hospital

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.


Contact Information

NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD
503 FARRELL DR
COVINGTON, KY41011-3775
Phone: 859-578-3200
Fax:
Website:
Specialty Taxonomy Code
* Psychiatric Hospital 283Q00000X
Psychiatric/Mental Health, Community 364SP0812X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD

NPI Number 1679775514
Legal business name
LBN
NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD
Authorized official OWEN NICHOLS - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 06/04/2007
Last updated 05/18/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 100265
  • KY License #: 800084
  • KY Medicaid: 02021350

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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