Provider Demographics
NPI:1013397017
Name:NEW PERCEPTIONS
Entity Type:Organization
Organization Name:NEW PERCEPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-344-9322
Mailing Address - Street 1:1 SPERTI DR
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41017-9654
Mailing Address - Country:US
Mailing Address - Phone:859-344-9322
Mailing Address - Fax:859-344-9332
Practice Address - Street 1:1 SPERTI DR
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-9654
Practice Address - Country:US
Practice Address - Phone:859-344-9322
Practice Address - Fax:859-344-9332
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILDREN'S SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-04
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100344630Medicaid
KY7100065860Medicaid
KY7100342660Medicaid
KY7100344520Medicaid
KY33090039Medicaid