DR. ALPHONSO NICHOLS III


Address: 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282
Phone: 5028170927

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3121 BROOKLAWN CAMPUS DR
City LOUISVILLE
State KY
Zip Code 40218-1282

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City LOUISVILLE
Zip Code 40218

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Dataset Information

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.

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