EASTPOINT RECOVERY PLLC (NPI# 1992267223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992267223 |
| Entity Type | Organization |
| Organization Name | EASTPOINT RECOVERY PLLC |
| Practice Address |
13113 Eastpoint Park Blvd Ste C Louisville KY 40223-4191 |
| Practice Telephone | 5022457258 |
| Practice Fax Number | 5024895552 |
| Mailing Telephone | 5022457258 |
| Mailing Fax Number | 5024895552 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | MRS. DONNA L CLEMENS (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5024894302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
13113 EASTPOINT PARK BLVD STE C |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-4191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023445913 | Your Psychological Needs, Inc. | Psychiatry & Neurology | 13113 Eastpoint Park Blvd Ste C, Louisville, KY 40223-4191 | 2013-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285103937 | A Newco LLC | Psychiatry & Neurology | 700 Envoy Cir # 702, Louisville, KY 40299-1812 | 2018-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487143806 | Fresh Start Health Psc | Psychiatry & Neurology | 336 29th St Ste 203, Ashland, KY 41101-1932 | 2018-05-02 |
| 1972007128 | Revitalize Healthcare, Inc | Psychiatry & Neurology | 657 Lone Oak Rd Ste 2, Paducah, KY 42003-4547 | 2018-03-22 |
| 1427269042 | Cheryl Yvonne Elizabeth Bailey Salary | Psychiatry & Neurology | 149 Grant Park Dr, Dayton, KY 41074-1745 | 2007-05-25 |
| 1306996079 | Michael G Kindred | Psychiatry & Neurology | 146 Deweese St, Lexington, KY 40507-1921 | 2007-01-12 |
| 1073548525 | Gary Clark Patton | Psychiatry & Neurology | 861 Corporate Dr, Lexington, KY 40503-5432 | 2006-07-12 |
| 1437186863 | Michelle Lofwall | Psychiatry & Neurology | 845 Angliana Ave, Lexington, KY 40508-3146 | 2006-06-28 |
| 1366911893 | Isaiah House Inc | Psychiatry & Neurology | 975 Hustonville Rd Ste 7, Danville, KY 40422-2165 | 2018-11-14 |
| 1730342635 | Christina Shuman Wise | Psychiatry & Neurology | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2008-07-10 |
| 1023281052 | Shri K Vaish | Psychiatry & Neurology | 627 W Fourth St, Lexington, KY 40508-1207 | 2008-04-10 |
| City | LOUISVILLE |
| Zip Code | 40223 |
Please comment or provide details below to improve the information on EASTPOINT RECOVERY PLLC.
| 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.