Individual provider Active NPI

Lisa Carol Steelsmith, PSYD

  • Psychologist
  • Louisville, KY
National Provider Identifier
1083934285
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
164960 Issued in KY
Practice address
120 Sears Ave Ste 201
Louisville, KY 40207-5072
Phone
(502) 709-2981
Fax
(502) 305-2115
NPI assigned
Jun 10, 2010
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 164960 KY Primary

Addresses

Primary practice location

120 Sears Ave Ste 201
Louisville, KY 40207-5072

Mailing address

200 S Bayly Ave
Louisville, KY 40206-2582
Phone (502) 645-3435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150116001900 KY Practitioner - Clinical Psychologist 2163746371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Sears Ave
Suite 201
Louisville, KY 40207-5072
Phone (502) 309-9255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164960KYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa C. Steelsmith, Psy.D., PLLC CurrentSince Feb 1, 2020 Accepting new patients
Amy B. Greenamyer, PHD, PLLC Past Accepting new patients

Locations

120 Sears Ave
Ste 201
Louisville, KY 40207
Phone (502) 309-9255

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1083934285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BAYLY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062582",
            "telephone_number": "502-645-3435",
            "fax_number": "502-305-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SEARS AVE STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075072",
            "telephone_number": "502-709-2981",
            "fax_number": "502-305-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELSMITH",
        "first_name": "LISA",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "164960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.