NPIMap

Organization Active NPI

University of Louisville Research Foundation Inc

Doing business as The STAR Program

  • Developmental - Behavioral Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1023096690
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC
Doing business as
The STAR Program
Practice address
1405 East Burnett Street
Louisville, KY 40217-1577
Phone
(502) 588-0736
Fax
(502) 588-0721
NPI assigned
Jan 4, 2006
Last updated
May 24, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF LOUISVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Gregory Postel, MD
Title
Evp Health Affairs
Phone
(502) 852-5184

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Pediatrics Physician 208000000X NU
Developmental - Behavioral Pediatrics Physician 2080P0006X NU Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

1405 East Burnett Street
Louisville, KY 40217-1577

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0320

Other names 1

  • The STAR Program Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000087 KY Part B Supplier - Clinic/Group Practice 1153234265 Receives reassigned benefits from 30 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Louisville, KY

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
University of Louisvill

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

517 S Floyd St
100
Louisville, KY 40202
Phone (502) 852-5333

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1023096690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0320",
            "fax_number": "502-588-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 EAST BURNETT STREET",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171577",
            "telephone_number": "502-588-0736",
            "fax_number": "502-588-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF LOUISVILLE",
        "enumeration_date": "2006-01-04",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "POSTEL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "EVP HEALTH AFFAIRS",
        "authorized_official_telephone_number": "502-852-5184",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The STAR Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The STAR Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 24, 2018; 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.