Organization Active NPI

Meghana Suchak PHD, LLC

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1003458605
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MEGHANA SUCHAK PHD, LLC
Practice address
4010 Dupont Cir Ste 574
Louisville, KY 40207-4843
Phone
(502) 912-1498
NPI assigned
Oct 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Britte Purtee
Title
Office Manager
Phone
(317) 889-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

4010 Dupont Cir Ste 574
Louisville, KY 40207-4843

Mailing address

4010 Dupont Cir Ste 574
Louisville, KY 40207-4843
Phone (502) 912-1498

Other practice location 1

2325 Lime Kiln Ln Ste A
Louisville, KY 40222-3418
Phone (502) 912-1498

National Provider Directory

National Provider Directory

Locations

2325 Lime Kiln Ln
Ste A
Louisville, KY 40222
Phone (502) 912-1498

4050 Westport Rd
Ste 216
Louisville, KY 40207
Phone (502) 912-1498

4010 DuPont Cir
Ste 574
Louisville, KY 40207
Phone (502) 396-0529

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1003458605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 574",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074843",
            "telephone_number": "502-912-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 574",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074843",
            "telephone_number": "502-912-1498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 Lime Kiln Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402223418",
            "country_code": "US",
            "telephone_number": "502-912-1498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEGHANA SUCHAK PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "PURTEE",
        "authorized_official_first_name": "BRITTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-889-3166"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.