Individual provider Active NPI

Kellye Nichol Singletary, M.D.

  • Psychiatry Physician
  • Louisville, KY
National Provider Identifier
1063433324
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
40273 Issued in KY
Practice address
12730 Townepark Way Ste 203
Louisville, KY 40243-2303
Phone
(502) 632-3500
Fax
(888) 965-1418
NPI assigned
Jul 22, 2006
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C144091 CA
Psychiatry Physician 2084P0800X P3451 TX
Psychiatry Physician 2084P0800X 13045-320 WI
Psychiatry Physician 2084P0800X 102918 GA
Psychiatry Physician 2084P0800X 40273 KY Primary

Addresses

Primary practice location

12730 Townepark Way Ste 203
Louisville, KY 40243-2303

Mailing address

239 Lansdowne Cres
Louisville, KY 40245-7202
Phone (502) 386-5130

Other practice location 1

193 Fairview Ln Ste K
Sonora, CA 95370-4828
Phone (209) 536-5144

Other identifiers 1

IdentifierTypeStateIssuer
7100244180MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL LOUISVILLE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TX, CA, WI, MN, MI, GA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20130827000045 KY Practitioner - Psychiatry 5698918480 Reassigns benefits to 3 organizations
I20130829000722 TX Practitioner - Psychiatry 5698918480 Reassigns benefits to 12 organizations
I20220812002460 CA Practitioner - Psychiatry 5698918480 Reassigns benefits to 2 organizations
I20250501001474 WI Practitioner - Psychiatry 5698918480 Reassigns benefits to 1 organization
I20250505000566 MN Practitioner - Psychiatry 5698918480 Reassigns benefits to 3 organizations
I20250522001220 MI Practitioner - Psychiatry 5698918480 Reassigns benefits to 1 organization
I20250717001863 GA Practitioner - Psychiatry 5698918480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Louisville School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians
Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians

Practice addresses (Care Compare)

12730 Townepark Way
Suite 203
Louisville, KY 40243-2303
Phone (502) 653-2300

1621 N Main St
Beaver Dam, KY 42320-8963
Phone (270) 274-9222

193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C144091CAMDPsychiatry Physician
13045-320WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince Jan 6, 2025 Accepting new patients
Fairview Health Services Current Accepting new patients
Sonora Community Hospital Current Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Mar 1, 2018 Accepting new patients
Fairview Express Care Current Accepting new patients
Chapa-de Indian Health Program, Inc. CurrentSince Aug 8, 2022 Accepting new patients
Camino Real Community MHMR Center CurrentSince Jul 2, 2013 Accepting new patients
Healtheast Medical Research Institute CurrentSince May 22, 2025 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Apr 1, 2025 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Dec 7, 2025 Accepting new patients
The Gulf Coast Center Psychiatry CurrentSince Dec 22, 2013 Accepting new patients
Burke Center Psychiatry CurrentSince Jul 21, 2013 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
St. Clare Memorial Hospital, Inc CurrentSince Dec 7, 2025 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Dec 7, 2025 Accepting new patients
Helen Farabee Centers Psychiatry CurrentSince Dec 1, 2013 Accepting new patients
Spindletop MHMR Services CurrentSince Jun 1, 2016 Accepting new patients
Andrews Center - Elliott St CurrentSince Aug 26, 2019 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Apr 1, 2025 Accepting new patients
Healtheast Medical Research Institute CurrentSince May 22, 2025 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Oct 13, 2013 Accepting new patients
Andrews Center -Pinkerton CurrentSince Aug 26, 2019 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Nov 1, 2014 Accepting new patients
St Mary's Hospital Medical Center of Green Bay Inc.-Hospital Sisters CurrentSince Oct 20, 2025 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Jan 1, 2018 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Dec 7, 2025 Accepting new patients
Fairview Express Care CurrentSince May 22, 2025 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Jul 14, 2025 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Psychiatry Current Accepting new patients
Fairview Health Services CurrentSince May 22, 2025 Accepting new patients
Bluebonnet Trails Community MHMR Center Psychiatry CurrentSince Oct 13, 2013 Accepting new patients
Sonora Community Hospital CurrentSince Jan 6, 2025 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Nov 1, 2025 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatry CurrentSince Mar 1, 2018 Accepting new patients
Andrews Center Psychiatry Current Accepting new patients
Fairview Express Care CurrentSince May 22, 2025 Accepting new patients
Tri-County Behavioral Healthcare CurrentSince Jul 23, 2020 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Psychiatry CurrentSince Jan 1, 2018 Accepting new patients
St Clare Memorial Hospital, Inc CurrentSince Dec 7, 2025 Accepting new patients
Lakes Regional Mental Health Mental Retardation Center CurrentSince Jun 1, 2015 Accepting new patients
Texana Center CurrentSince Jul 19, 2014 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Spindletop MHMR Services Current Accepting new patients
Fairview Health Services CurrentSince May 22, 2025 Accepting new patients
Helen Farabee Regional Centers Past Accepting new patients
The Gulf Coast Center Past Accepting new patients

Locations (25 of 44)

11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800

1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

193 Fairview Ln
Ste K
Sonora, CA 95370
Phone (209) 536-5144

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

1313 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9928

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

101 Brennen Ln
Alvin, TX 77511
Phone (409) 502-6548

1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1312

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

6600 E Ben White Blvd
Austin, TX 78741
Phone (512) 804-3740

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

1738 Elliot Dr
Canton, TX 75103
Phone (903) 597-5067

233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151

706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD
  • Direct secure messaging: ksingletary859765@direct.froedtert.com

Organizations & group practices 50

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 50

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1063433324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 LANSDOWNE CRES",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402457202",
            "telephone_number": "502-386-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 TOWNEPARK WAY STE 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432303",
            "telephone_number": "502-632-3500",
            "fax_number": "888-965-1418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "193 Fairview Ln Ste K",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953704828",
            "country_code": "US",
            "telephone_number": "209-536-5144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGLETARY",
        "first_name": "KELLYE",
        "middle_name": "NICHOL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C144091",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P3451",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "13045-320",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "102918",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "40273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100244180",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LOUISVILLE",
            "affiliation": "N",
            "address_1": "11118 Radleigh Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402915083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.