Deshields Behavioral Wellness, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

216350 Issued in KY

Legal business name

DESHIELDS BEHAVIORAL WELLNESS, INC.

Practice address

2515 Gardiner LN
Louisville, KY 40205-3003

Phone

(502) 681-7330

Fax

(502) 489-5552

NPI assigned

Apr 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Katie Beth Deshields, PSY.D.NPI 1639320344

Title

President

Phone

(502) 681-7330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katie Beth Deshields, PSY.D.

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1639320344
  Medicare reassignment Authorized official
• James M. Anderson, PH.D.

  • Counseling Psychologist
  • Louisville, KY
  • NPI 1407987977
  NPD (past)
• Abigail Beth Dawkins, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1144519315
  NPD (past)
• Jane Elizabeth Gainer Brooks, LPCC

  • Professional Counselor
  • Louisville, KY
  • NPI 1740517747
  NPD (past)

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1013371699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 GARDINER LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053003",
            "telephone_number": "502-681-7330",
            "fax_number": "502-489-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 GARDINER LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053003",
            "telephone_number": "502-681-7330",
            "fax_number": "502-489-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESHIELDS BEHAVIORAL WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "DESHIELDS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-681-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "216350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahil Desai
• Shweta Desai, PHARMD
• Preeti Tara Desaigoudar, MS, CGC
• Ervina Desaussure
• Krista M Desensi, M.D.
• Katie Beth Deshields, PSY.D.
• Collin Deshler
• Desi Home Care LLC
• Design Well LLC
• Designer Eyewear Inc

• Clinical Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.