KENTUCKY PSYCHIATRIC AND MENTAL HEALTH SERIVCES, PLLC (NPI# 1093125247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093125247 |
| Entity Type | Organization |
| Organization Name | KENTUCKY PSYCHIATRIC AND MENTAL HEALTH SERIVCES, PLLC |
| Practice Address |
9700 Park Plaza Ave Suite 108 Louisville KY 40241-2236 |
| Practice Telephone | 5023392442 |
| Mailing Telephone | 5023392442 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |
| Authorized Official Name | DR. BRIAN BRISCOE (MEMBER) |
| Authorized Official Telephone | 5023392442 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 43198 | KY | Other Service Providers |
| Street Address |
9700 PARK PLAZA AVE SUITE 108 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267499 | Willard David Sapp | Marriage & Family Therapist | 9700 Park Plaza Ave, Ste 105, Louisville, KY 40241-2236 | 2006-03-02 |
| 1902274426 | Brian Christopher Belva | Psychologist | 9700 Park Plaza Ave, Suite 106, Louisville, KY 40241-2236 | 2015-09-15 |
| 1205272812 | L. Kevin Chapman, Inc. | Community/Behavioral Health | 9700 Park Plaza Ave, Suite 108, Louisville, KY 40241-2236 | 2013-05-22 |
| 1972859098 | University of Louisville Physicians, Inc. | Pediatrics | 9700 Park Plaza Ave, Suite 110, Louisville, KY 40241-2236 | 2012-07-26 |
| 1700177631 | Meagan Elizabeth Marcum | Psychologist | 9700 Park Plaza Ave, Suite 106, Louisville, KY 40241-2236 | 2011-04-26 |
| 1649577362 | University Pediatric Pulmonary, LLC | Pediatrics | 9700 Park Plaza Ave, Ste 110, Louisville, KY 40241-2286 | 2011-02-15 |
| 1083929871 | University Pediatrics Foundation, Inc. | Pediatrics | 9700 Park Plaza Ave, Ste 110, Louisville, KY 40241-2236 | 2010-08-17 |
| 1174707996 | Kimberly Jean Waltrip | Social Worker | 9700 Park Plaza Ave, Ste. 105, Louisville, KY 40241-2236 | 2007-12-28 |
| 1356522932 | Bailey & Associates Psc | Psychologist | 9700 Park Plaza Ave, Suite 105, Louisville, KY 40241-2236 | 2007-11-24 |
| 1598952293 | Childrens Eye Specialists Pllc | Ophthalmology | 9700 Park Plaza Ave, Suite 205, Louisville, KY 40241-2287 | 2007-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674797 | Sarah Cb Tucker | Specialist | 1169 Eastern Pkwy, Suite 2313, Louisville, KY 40217-1417 | 2020-03-18 |
| 1104457795 | David B. Beltz | Specialist | 6911 Ravenna Ave Ne, Louisville, OH 44641-4464 | 2020-01-31 |
| 1306480967 | Shawnas Monique Moore | Specialist | 3007 Dr William G Weathers Dr, Louisville, KY 40211-1891 | 2019-11-06 |
| 1083124366 | Kentuckiana Pain Specialist Ambulatory Surgery Center | Specialist | 3710 Chamberlain Ln Ste B, Louisville, KY 40241-2002 | 2017-10-02 |
| 1902345994 | Hps Kentucky LLC | Specialist | 444 Sourth First Street, Louisville, KY 40202 | 2017-02-23 |
| 1134578032 | Fernando Pajo Jr. | Specialist | 5007 Old Federal Rd, Louisville, KY 40207-1200 | 2016-06-10 |
| 1144616749 | James David Dorneman Jr. | Specialist | 4346 Bowling Blvd, Louisville, KY 40207-5405 | 2015-04-09 |
| 1609269414 | Preston Medical Center | Specialist | 927 S 3rd St, Louisville, KY 40203-2215 | 2015-03-18 |
| 1821437468 | Cordelia Marie Devine | Specialist | 1100 Envoy Cir, Suite 1105, Louisville, KY 40299-1960 | 2013-06-17 |
| 1154765550 | Therapy Associates of Louisville, LLC | Specialist | 4810 Poplar Place Dr Ste 100, Louisville, KY 40213-2383 | 2013-04-29 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
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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.