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NPI Code Detail

MEDICARE: NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD

MEDICARE: NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician800084KY
2261QP2300XPrimary Care Clinic/Center
3364SP0812XCommunity Psychiatric/Mental Health Clinical Nurse Specialist800084KY
4261QC1500XCommunity Health Clinic/Center
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)800084KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578527610
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD
Provider Business Mailing Address
First Line : 502 FARRELL DR
Second Line :
City : COVINGTON
State : KY
Zip : 41011-3717
Country : US
Telephone Number : 859-578-3200
Fax Number : 859-534-2627
Provider Business Practice Location Address
First Line : 502 FARRELL DR
Second Line :
City : COVINGTON
State : KY
Zip : 41011-3717
Country : US
Telephone Number : 859-578-3232
Fax Number : 859-578-3256
Authorized Official
Title or Position : PRESIDENT/CEO
Name : DANIELLE AMRINE
Credential : LSW
Telephone Number : 859-578-3200
Provider Enumeration Date : 04/14/2006
Last Update Date : 09/30/2025

Similar Medicare Providers

1013971118 — TANYA H KAUP LCSW
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41011-3717
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1609830439 — DAVID A SCHMID MD
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1083667349 — EMILY CAHILL MSW
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1023061603 — RUTH K VERST LCSW
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1023061066 — KIMBERLY M GUY LCSW
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1518911841 — DR. JAMES J ROSENTHAL PSY.D.
Practice Location Address:
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Directions to “NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD ” Practice Location

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