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Deactivated NPI 1992855159 Deactivated / Inactive NPI Male Practitioner

Mark W Isham , MS

Psychologist • Stanford, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Isham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2007
NPI Deactivation Date October 22, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Mark Isham, MS was a registered Psychologist practicing in Stanford, KY. Throughout an active medical career spanning 11 years, Mark Isham provided care at the practice location at 322 FRONTIER BLVD until profile deactivation on 2018-10-22.

Practice Location & Contact Primary Location

Practice Address

322 Frontier Blvd

Stanford, KY 404847730

Telephone 8592531686
Fax 8592542743
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Stanford, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Stanford, KY (567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License KY 0203

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sarah Ford

Counselor - Mental Health

NPI 1003103995
Monica Klampe

Community Health Worker

NPI 1003130170
Michael Stratton

Counselor - Mental Health

NPI 1003188723
NPI 1003194648

Licensed Clinical Social Worker

Teonna Wilson

Counselor - Mental Health

NPI 1003348319
Holly Dickison

Social Worker

NPI 1003405333

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 22, 2018

Record deactivated on October 22, 2018

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 322 FRONTIER BLVD, STANFORD, KY 404847730 (Tel: 8592531686)

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Updated Business Mailing Address July 09, 2007

Registered at 1351 NEWTOWN PIKE, LEXINGTON, KY 405111217 (Tel: 8592531686)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MARK ISHAM, MS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Psychologist (License #0203 in KY)

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Initial NPI Registration & Enumeration January 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992855159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2007
Last Update: July 09, 2007
Deactivation Date: October 22, 2018

Mailing Address

1351 Newtown Pike

Lexington, KY 405111217

Phone: 8592531686

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.