Individual provider Active NPI

David Mitchell Katz, PSY.D.

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1104159953
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1628 Issued in KY
Practice address
1230 S Hurstbourne Pkwy
Ste 245
Louisville, KY 40222-5797
Phone
(502) 456-1990
Fax
(502) 473-0667
NPI assigned
Sep 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1628 KY Primary

Addresses

Primary practice location

1230 S Hurstbourne Pkwy
Ste 245
Louisville, KY 40222-5797

Mailing address

1230 S Hurstbourne Pkwy
Ste 245
Louisville, KY 40222-5797
Phone (502) 423-4474

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
I20110414000594 KY Practitioner - Clinical Psychologist 3072797182 Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1230 S Hurstbourne Pkwy
Suite 245
Louisville, KY 40222-5797
Phone 5024234474103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1104159953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S HURSTBOURNE PKWY",
            "address_2": "STE 245",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225797",
            "telephone_number": "502-423-4474",
            "fax_number": "502-423-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S HURSTBOURNE PKWY",
            "address_2": "STE 245",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225797",
            "telephone_number": "502-456-1990",
            "fax_number": "502-473-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "DAVID",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.