Nicholas Bach, PSY.D.
Individual provider Active NPI Clinical Psychologist · Louisville, KY
NPI 1003489824 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1003489824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 270198 (KY)
- Practice address
- 350 Evergreen Rd Ste 104
Louisville, KY 40243-1010 - Phone
- (502) 203-0838
- NPI assigned
- Jul 20, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270198 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Psychological Services, LLC | Clinical | Current |
Accepting new patients |
Locations
350 Evergreen Rd
Ste 104
Louisville, KY 40243
Phone (502) 203-0838
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 270198 | KY | Yes |
Addresses
Primary practice location
350 Evergreen Rd Ste 104
Louisville, KY 40243-1010
Mailing address
350 Evergreen Rd Ste 104
Louisville, KY 40243-1010
Phone (502) 203-0838
Other names
- Dr. Nick Bach
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | drnickbach.com | Direct |
Other providers in Louisville, KY
- Samantha Paige Babey
- Scott Brian Babin
- Roshan C Babu
- Savannah Babu
- Jennifer Anne Bach
- Daniel Ross Bachman
- Shelby Lynn Bachman
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All providers in Louisville, KY · Clinical Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.