| Northern Kentucky Psychiatry Assoc | |
|
2380 Grandview Dr Ft Mitchell KY 41017-1633 | |
| (859) 331-7234 | |
| (859) 578-7986 |
| Full Name | Northern Kentucky Psychiatry Assoc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2380 Grandview Dr, Ft Mitchell, Kentucky |
| Authorized Official Name and Position | Agustina A. Baluyot (PRESIDENT) |
| Authorized Official Contact | 8593317234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Kentucky Psychiatry Assoc 2380 Grandview Dr Ft Mitchell KY 41017-1633 Ph: (859) 331-7234 | Northern Kentucky Psychiatry Assoc 2380 Grandview Dr Ft Mitchell KY 41017-1633 Ph: (859) 331-7234 |
| NPI Number | 1437108099 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437108099 | NPI | - | NPPES |
| 5796 | Other | KY | ANTHEM |
| 079122000 | Other | KY | MAGELLAN |
| 65930505 | Medicaid | KY | |
| 7100199660 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
Easterseals Redwood Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 71 Orphanage Rd, Ft Mitchell, KY 41017 Phone: 859-331-0880 Fax: 855-704-1573 | |
Diocesan Catholic Children's Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Orphanage Rd, Ft Mitchell, KY 41017 Phone: 859-331-2040 Fax: 859-344-5022 |