Basic Information
| Provider Information | |||||||||
| NPI: | 1275606394 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BATSEL-THOMAS | ||||||||
| FirstName: | SANDRA | ||||||||
| MiddleName: | DEE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 245 FOUNTAIN CT | ||||||||
| Address2: | SUITE 225 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405091888 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593236021 | ||||||||
| FaxNumber: | 8593234927 | ||||||||
| Practice Location | |||||||||
| Address1: | 245 FOUNTAIN CT | ||||||||
| Address2: | SUITE 225 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405091888 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593236021 | ||||||||
| FaxNumber: | 8593234927 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2006 | ||||||||
| LastUpdateDate: | 08/04/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 35.084865 | OH | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0804X | 35084865 | OH | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | 2084P0804X | 48109 | KY | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | 2084P0800X | 48109 | KY | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | FB5335888 | 01 | KY | DEA | OTHER | BB8944767 | 01 | OH | DEA | OTHER |