Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Damon Tichenor Jr., PSYD

Individual provider Clinical Psychologist · NPI 1609762004

Dr. Damon Tichenor Jr., PSYD is a Clinical Psychologist in Lexington, Kentucky. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2025
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

120 Prosperous Pl Ste 115
Lexington, KY 40509-1866
Phone: (859) 368-0609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 295085 (KY)

Record details

NPI number1609762004
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJune 13, 2025
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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