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PSYCHEDELIC PSYCH
NPI 1932938115
Nurse Practitioner - Psychiatric/Mental Health in Mt Sterling, KY

Active since July 29, 2024
601 DOE RUN DR STE 4, MT STERLING, KY 40353(859) 710-8803 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Psychedelic Psych NPPES

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

PSYCHEDELIC PSYCH (NPI 1932938115) is a healthcare organization registered as a psychiatric/mental health in Mt Sterling, Kentucky and active in the NPI registry since July 2024. The organization lists Shawnda Carter, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932938115
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePSYCHEDELIC PSYCH
Location Address601 DOE RUN DR STE 4Mt Sterling, KY 40353-9097
Mailing Address601 Doe Run Dr Ste 4Mt Sterling, KY 40353-9097 · (859) 710-8803
Phone(859) 710-8803
Organization SubpartNo
Authorized OfficialShawnda CarterCeo · (859) 710-8803
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 28, 2024
✔ NPI 1932938115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
601 DOE RUN DR STE 4, Mt Sterling, KY 40353
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Psychedelic Psych's NPI number?

The NPI number for Psychedelic Psych is 1932938115. It was assigned to this organization in the NPPES registry on July 29, 2024.

Where is Psychedelic Psych located?

Psychedelic Psych is located at 601 Doe Run Dr Ste 4, Mt Sterling, KY 40353. The listed phone number is (859) 710-8803.

What is Psychedelic Psych's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Psychedelic Psych was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.