WILLIE FLOYD MCBRIDE III PHD
NPI 1912460247
Psychologist - Clinical in Lexington, KY

Q: What is Willie Mcbride's NPI number?

The NPI number for Willie Mcbride is 1912460247. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Q: What is Willie Mcbride's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Willie Mcbride was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since April 12, 2019PECOS EnrolledAccepts Medicare Assignment

740 S LIMESTONE STE B101, LEXINGTON, KY 40536(859) 323-5661(859) 323-6411 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, Jul 30, 2024, Apr 12, 2019 (3 updates tracked since 2019).

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About Willie Floyd Mcbride Iii Phd NPPES

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

WILLIE FLOYD MCBRIDE III PHD (NPI 1912460247) is an individual clinical provider in Lexington, Kentucky, licensed in Kentucky (271213) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1912460247

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameWILLIE FLOYD MCBRIDE IIICredential: PHD

Location Address740 S LIMESTONE STE B101Lexington, KY 40536-2213

Mailing Address851 S 4th StLouisville, KY 40203-2115 · (502) 873-4171

Phone(859) 323-5661

Fax(859) 323-6411

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateApril 12, 2019

Last NPPES UpdateJune 9, 20253 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1912460247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in KY · 271213

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 271213 (KY)

740 S LIMESTONE STE B101, Lexington, KY 40536

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Secondary Practice Location 1

Location 1845 S 3rd St Rm 302Louisville, KY 40203-2213 · Phone (502) 873-4171

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Willie Floyd Mcbride Iii Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890200448

PECOS Enrollment IDI20250714002374

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$162.27 typical visit price

range $52.76 – $162.27

Typical copayment $40.56 (range $13.19 – $40.56)

Most-billed visit code 99205

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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