| NPI | 1366112823 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-09-16 |
| Last Updated | 2024-11-15 |
| Authorized Official | Joellen Marion President Phone: 2702028669 |
| Mailing Address | 719 Dishman Lane Ext Apt C Bowling Green, KY 42104-4072 United States Phone: (270) 202-8669 | Fax: (270) 200-8781 📍 View Map |
| Primary Practice Address | 719 Dishman Lane Ext Apt C Bowling Green, KY 42104-4072 United States Phone: (270) 202-8669 | Fax: (270) 200-8781 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | KY | 7100886940 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 101YP2500X – Counselor, Professional | - | - |
| No | 103G00000X – Clinical Neuropsychologist | - | - |
| No | 103TC0700X – Psychologist, Clinical | - | - |
| No | 1041C0700X – Social Worker, Clinical | - | - |
| Yes | 363LP0808X – Nurse Practitioner, Psych/Mental Health | - | - |
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About NPI 1366112823
Cardinal Behavioral Health Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1366112823. The primary specialty listed is Nurse Practitioner, Psych/Mental Health. The organization is located in Bowling Green, KY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-09-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1366112823?
NPI 1366112823 belongs to Cardinal Behavioral Health Pllc, a Nurse Practitioner, Psych/Mental Health in Bowling Green, KY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1366112823 active?
The current status of NPI 1366112823 in the NPPES registry is Active. The record was last updated on 2024-11-15.
What specialty is NPI 1366112823?
NPI 1366112823 is classified under the taxonomy Nurse Practitioner, Psych/Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1366112823?
You can verify NPI 1366112823 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1366112823?
The primary practice address on file for NPI 1366112823 is 719 Dishman Lane Ext Apt C, Bowling Green, KY 42104-4072. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1366112823 issued?
NPI 1366112823 was first issued (enumerated) on 2021-09-16. The NPPES record was last updated on 2024-11-15.
Practice Location Map
Cardinal Behavioral Health Pllc is located at 719 Dishman Lane Ext Apt C, Bowling Green, KY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Cardinal Behavioral Health Pllc. All records sourced from the CMS NPPES registry.