Organization · Type 2 NPI

Commonwealth of Kentucky

Psychiatry Physician · Louisville, KY

NPI number 1598056210 Active

Practice location

10510 Lagrange Road
Louisville, KY 40223

Fax (503) 253-7090

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician Primary	2084P0800X	None listed
Psychiatry Physician	2084P0800X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

Another provider at this address

Commonwealth of KentuckyPsychiatric Hospital Louisville, KY NPI 1578871679

Other psychiatry physician providers in Louisville

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NPI record

NPI: 1598056210
Entity type: Organization (Type 2)
Issued: Apr 28, 2011
Last updated: Oct 30, 2024
Status: Active
Subpart: Yes of Commonwealth of Kentucky

Other names

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Central State Hospital Physicians · doing business as

Authorized official

Jennifer Moore
Assistant Director
(502) 782-6117

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1598056210

Commonwealth of Kentucky's National Provider Identifier is 1598056210, issued on Apr 28, 2011. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Louisville, KY. The record was last updated on Oct 30, 2024.