Bluegrass Health Psychology, Inc.
NPI 1619061470ActiveOrganization· Psychologist, Clinical· Lexington, KY
Psychologist, Clinical in Lexington, Kentucky, registered in NPPES in October 2006. The authorized official on file is Jonathan D. Cole, PH.D., President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1619061470 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Aug 9, 2022 |
| Certified by provider | Aug 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Psychologist, Clinical | 103TC0700X | 1200 | KY |
| Psychologist, Health Service | 103TH0100X | 1200 | KY |
| Psychologist, Health Service | 103TH0100X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (WV) |
|---|
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