MARINA SUD (NPI# 1104446921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104446921 |
| Entity Type | Organization |
| Organization Name | MARINA SUD |
| Practice Address |
1834 Gresham Rd Louisville KY 40205-2424 |
| Practice Telephone | 9144757256 |
| Mailing Telephone | 9144757256 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | MARINA SUD (OWNER) |
| Authorized Official Telephone | 9144757256 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
1834 GRESHAM RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
| 1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
| 1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
| 1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
| 1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
| 1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
| 1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
| Find all providers in zip 40205 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227023 | Perspectives Psychological Services Pllc | Psychologist | 2802 Woodward Dr, Louisville, KY 40220-1265 | 2020-02-17 |
| 1104476126 | Zachary Clayborne Dietrich | Psychologist | 100 Executive Park Ste 103, Louisville, KY 40207-4201 | 2019-09-12 |
| 1174177901 | Hopebridge LLC | Psychologist | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2019-07-30 |
| 1740742923 | Jean Leonard | Psychologist | 864 W South Boulder Rd Unit 201, Louisville, CO 80027-2598 | 2019-04-04 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265914345 | Shelby Burton | Psychologist | 411 E Chestnut St # St2, Louisville, KY 40202-1713 | 2018-09-05 |
| 1285121004 | Mark L Dean | Psychologist | 1100 Glenlake Way, Louisville, KY 40245-5222 | 2018-04-17 |
| 1366948671 | Sagan Lee Ladd | Psychologist | 5602 Oxford Ct Apt 712, Louisville, KY 40291-2109 | 2018-04-04 |
| 1245731249 | Joseph L Bargione | Psychologist | 4504 Dakin Ct, Louisville, KY 40299-6226 | 2018-02-24 |
| 1841676137 | Leslie Jenkins | Psychologist | 8910 Greeneway Commons Pl Ste 203, Louisville, KY 40220-4065 | 2015-08-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40205 |
Please comment or provide details below to improve the information on MARINA SUD.
| 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.