Provider Demographics
NPI:1760781454
Name:ADAMS, ERICA F (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:F
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:BLUEGRASS HEALTH PSYCHOLOGY, INC.
Mailing Address - Street 2:4101 TATES CREEK CTR DR, STE 150 PMB 123
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3066
Mailing Address - Country:US
Mailing Address - Phone:859-277-1008
Mailing Address - Fax:859-277-1083
Practice Address - Street 1:BLUEGRASS HEALTH PSYCHOLOGY, INC.
Practice Address - Street 2:2220 YOUNG DRIVE
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-4219
Practice Address - Country:US
Practice Address - Phone:859-277-1008
Practice Address - Fax:859-277-1083
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1193103T00000X
IN20042817A103T00000X
KY1728103T00000X
KY129911103TR0400X, 103T00000X
FLPY8253103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100282180Medicaid