TIMOTHY D. PETERS (NPI# 1881635076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881635076 |
Entity Type | Individual |
Full Name | TIMOTHY D. PETERS |
Credential | M.D. |
Practice Address |
714 Lyndon Ln Ste 6 Louisville KY 40222-4643 |
Practice Telephone | 5023268600 |
Practice Fax Number | 5023268970 |
Mailing Telephone | 5023268600 |
Mailing Fax Number | 5023268970 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2019-01-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
39646 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64105463 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124137955 | Timothy J Peters | Chiropractor | 562 12th St W, Dickinson, ND 58601-3509 | 2006-08-29 |
1376511998 | Timothy Roy Peters | Family Medicine | 605 Welch St, Silverton, OR 97381-1946 | 2006-03-09 |
1467897470 | Timothy Michael Peters | Internal Medicine | 619 19th St S, Birmingham, AL 35249-1900 | 2013-05-03 |
1124241898 | Timothy Walter Peters | Dentist | 6431 Bridgetown Rd, Cincinnati, OH 45248-2934 | 2007-04-11 |
1750478889 | Timothy Peters | Internal Medicine | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2006-10-09 |
1558385526 | Timothy Francis Peters | Orthopaedic Surgery | 2587 Commons Blvd, Suite 110, Beavercreek, OH 45431-3841 | 2006-07-26 |
1285662171 | Timothy A Peters | Family Medicine | 1919 Lake Ave, Suite 104, Plymouth, IN 46563-7830 | 2006-06-29 |
1417909847 | Timothy Douglas Peters | Internal Medicine | 2510 Airpark Dr, Suite #305, Redding, CA 96001-2449 | 2006-05-16 |
1770541138 | Timothy James Peters | Social Worker | 5200 Sw Macadam Ave, #580, Portland, OR 97239-3837 | 2006-05-03 |
Street Address |
714 LYNDON LN STE 6 |
City | LOUISVILLE |
State | KY |
Zip Code | 40222-4643 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275031106 | Kate Teresa O'bryan | Social Worker | 714 Lyndon Ln Ste 6, Louisville, KY 40222-4643 | 2018-01-25 |
1396267704 | Mdb Psychiatric Services, LLC | Nurse Practitioner | 714 Lyndon Ln Ste 6, Louisville, KY 40222-4643 | 2017-07-07 |
1477006856 | Gabrielle Caniglia | Nurse Practitioner | 714 Lyndon Ln Ste 6, Louisville, KY 40222-4643 | 2016-08-02 |
1629486493 | Laura Elaine Brown | Social Worker | 714 Lyndon Ln Ste 6, Louisville, KY 40222-4643 | 2014-07-24 |
1326476599 | Melissa Danielle Bishop | Nurse Practitioner | 714 Lyndon Ln Ste 6, Louisville, KY 40222-4643 | 2013-10-24 |
1588871727 | Robert J Veliky | Social Worker | 714 Lyndon Ln Ste 6, Louisville, KY 40222-4643 | 2007-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
Find all providers in zip 40222 |
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 |
1003890666 | Alphonso Nichols IIi | Psychiatry & Neurology | 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282 | 2005-12-06 |
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 | 40222 |
Please comment or provide details below to improve the information on TIMOTHY D. PETERS.
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.