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PADUCAH PSYCHIATRY GROUP PSC
NPI 1558419978
Psychiatry & Neurology - Psychiatry in Paducah, KY

Active since January 08, 2007CLIA 18D2293189 · Waiver
100 FOUNTAIN AVE, SUITE 301, PADUCAH, KY 42001(270) 443-8195(270) 444-7922 Get Directions Write a Review

NPPES record last updated: July 18, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paducah Psychiatry Group Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PADUCAH PSYCHIATRY GROUP PSC (NPI 1558419978) is a healthcare organization registered as a psychiatry in Paducah, Kentucky and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through October 13, 2028 and lists David A Meyer, President, as its authorized official.

NPPES Registry Identity

NPI1558419978
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePADUCAH PSYCHIATRY GROUP PSC
Location Address100 FOUNTAIN AVE, SUITE 301Paducah, KY 42001-2774
Mailing Address100 Fountain Ave, Suite 301Paducah, KY 42001-2774 · (270) 443-8195 · Fax (270) 444-7922
Phone(270) 443-8195
Fax(270) 444-7922
Organization SubpartNo
Authorized OfficialDavid A MeyerPresident · (270) 443-8195
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 18, 2008
✔ NPI 1558419978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in KY · 20671
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
100 FOUNTAIN AVE, Paducah, KY 42001
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Other Identifiers 6

Medicare ID-Type Unspecified1296301
Other000000049057KY · Bcbs
Other00511500Magellan
Medicare PIN2963
Medicaid64206717KY
Medicare UPINC74105

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paducah Psychiatry Group Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Paducah Psychiatry Group Psc, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Meyer, MD
Psychiatry
NPI 1811957459
100 FOUNTAIN AVE SUITE # 301
Paducah, KY 42001
(270) 443-8195
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2293189

Paducah Psychiatry Group · Paducah, KY
Active · expires Oct 13, 2028
CLIA Number18D2293189
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2026
Certificate Expiration DateOctober 13, 2028
Laboratory DirectorDr. David A. Meyer
Laboratory Phone(270) 443-8195
Laboratory LocationPaducah Psychiatry Group100 Fountain Avenue Suite 301, Paducah, KY 42001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paducah Psychiatry Group Psc's NPI number?

The NPI number for Paducah Psychiatry Group Psc is 1558419978. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Paducah Psychiatry Group Psc located?

Paducah Psychiatry Group Psc is located at 100 Fountain Ave Suite 301, Paducah, KY 42001. The listed phone number is (270) 443-8195.

What is Paducah Psychiatry Group Psc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Paducah Psychiatry Group Psc enrolled in Medicare?

Yes. Paducah Psychiatry Group Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paducah Psychiatry Group Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Paducah Psychiatry Group Psc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Paducah Psychiatry Group Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2293189) is associated with this NPI, valid through October 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paducah Psychiatry Group Psc was last updated on July 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.