Upsing Telepsychiatry Services, Llc | |
927 W Main St Louisville KY 40202-2621 | |
(502) 653-2300 | |
Not Available |
Full Name | Upsing Telepsychiatry Services, Llc |
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Speciality | Psychiatry & Neurology |
Location | 927 W Main St, Louisville, Kentucky |
Authorized Official Name and Position | Kellye Singletary (CO-OWNER) |
Authorized Official Contact | 5026255130 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Upsing Telepsychiatry Services, Llc 11118 Radleigh Ln Louisville KY 40291-5083 Ph: (502) 625-5130 | Upsing Telepsychiatry Services, Llc 927 W Main St Louisville KY 40202-2621 Ph: (502) 653-2300 |
NPI Number | 1538779640 |
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Provider Enumeration Date | 08/04/2020 |
Last Update Date | 03/06/2023 |
Certification Date | 03/06/2023 |
Medicare PECOS PAC ID | 3577978857 |
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Medicare Enrollment ID | O20210218001756 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538779640 | NPI | - | NPPES |
7100244180 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
Provider Name | Monique L Upton |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669679353 PECOS PAC ID: 1759433444 Enrollment ID: I20121102000007 |
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