DR. ALPHONSO NICHOLS III (NPI# 1003890666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003890666 |
Entity Type | Individual |
Full Name | DR. ALPHONSO NICHOLS III |
Credential | MD |
Practice Address |
3121 Brooklawn Campus Dr Louisville KY 40218-1282 |
Mailing Address |
Po Box 45 La Grange KY 40031-0045 |
Practice Telephone | 5028170927 |
Practice Fax Number | 5028050690 |
Mailing Telephone | 5028170927 |
Mailing Fax Number | 5028050690 |
Enumeration Date | 2005-12-06 |
Last Update Date | 2016-09-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
39438 | KY | Allopathic & Osteopathic Physicians |
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01061506A | IN | Allopathic & Osteopathic Physicians |
Street Address |
3121 BROOKLAWN CAMPUS DR |
City | LOUISVILLE |
State | KY |
Zip Code | 40218-1282 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730730441 | Virginia Sherman | Social Worker | 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282 | 2019-09-24 |
1447801154 | Austin Walls | Social Worker | 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282 | 2019-09-24 |
1528619236 | Rachel Mack | Counselor | 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282 | 2019-09-24 |
1518518224 | Laura Ann Purcell | Psychologist | 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282 | 2019-09-24 |
1699326306 | Zachary Geiser | Counselor | 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282 | 2019-09-24 |
1417508128 | Bridgette A Bowen | Art Therapist | 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282 | 2019-09-24 |
1780235499 | Kathryn Taylor Dennis | Social Worker | 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282 | 2019-09-24 |
1760033484 | Stephanie Fowler Stauble | Counselor | 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282 | 2019-09-24 |
1558827949 | Robert Corey Boes | Social Worker | 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282 | 2019-02-11 |
1215328901 | Uspiritus.inc | Counselor | 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282 | 2015-02-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
Find all providers in zip 40218 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356736896 | Tymberly Seim | Psychiatry & Neurology | 200 E Chestnut St Ste 200, Louisville, KY 40202-1847 | 2015-04-01 |
1285037713 | Courtney Brown Snyder | Psychiatry & Neurology | 5223 Indian Woods Dr, Louisville, KY 40207-2078 | 2014-09-29 |
1629416854 | Ball Consulting, Inc | Psychiatry & Neurology | 732 Greenridge Ln, Louisville, KY 40207-1331 | 2013-06-10 |
1487859757 | Marcy Cooper | Psychiatry & Neurology | 1314 Main St Unit 204, Louisville, CO 80027-1586 | 2007-06-18 |
1154458776 | Christine Beate Lieber Adams | Psychiatry & Neurology | 1430 Sylvan Way, Louisville, KY 40205-2484 | 2007-02-28 |
1851432199 | Julia M. Robertson | Psychiatry & Neurology | 3 River Hill Rd, Louisville, KY 40207-1191 | 2007-02-09 |
1124046552 | Elvira Drljevic Md Psc | Psychiatry & Neurology | 3814 Stone River Ct, Louisville, KY 40299-6543 | 2006-07-17 |
1861426991 | Elizabeth Caudill | Psychiatry & Neurology | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2006-07-11 |
1881635076 | Timothy D. Peters | Psychiatry & Neurology | 714 Lyndon Ln Ste 6, Louisville, KY 40222-4643 | 2006-06-09 |
1447749569 | Urooj Yazdani | Psychiatry & Neurology | 530 S Jackson St, Louisville, KY 40202-1675 | 2018-05-03 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40218 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.