Active NPI
Jennifer Diane Hale, M.A.
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1053737072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- KY 0465
- Practice address
- 1169 Eastern Pkwy
Ste 2252
Louisville, KY 40217-1417 - Phone
- (502) 454-4040
- Fax
- (502) 454-4609
- NPI assigned
- Mar 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | KY 0465 | KY | Primary |
Addresses
Primary practice location
1169 Eastern Pkwy
Ste 2252
Louisville, KY 40217-1417
Mailing address
1169 Eastern Pkwy
Ste 2252
Louisville, KY 40217-1417
Phone (502) 454-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY 0465 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris Catt Consulting | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394755200000",
"number": "1053737072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 EASTERN PKWY",
"address_2": "STE 2252",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171417",
"telephone_number": "502-454-4040",
"fax_number": "502-454-4609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 EASTERN PKWY",
"address_2": "STE 2252",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171417",
"telephone_number": "502-454-4040",
"fax_number": "502-454-4609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "JENNIFER",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-14",
"last_updated": "2014-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "KY 0465",
"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 Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.