Unknown Individual – Psychiatry Physician, NPI 1407912835
Psychiatry Physician
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Doctor Profile
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
939, Baxter Avenue, Original Highland Neighborhood, Louisville, Jefferson County, Kentucky, 40204, United States
LOUISVILLE, KY 402042046
Phone: (502) 459-9949
Fax: (502) 459-9937
Mailing address matches the actual address.
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40204)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | KY | 90792 | Psychiatric diagnostic evaluation with medical services | 11 | 11 |
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