Active NPI
Amberly S Pendley
- Behavior Analyst
- Louisville, KY
National Provider Identifier
1124335054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 174740
- Practice address
- 207 Townepark Cir
Louisville, KY 40243-2321 - Phone
- (606) 677-2636
- NPI assigned
- Sep 14, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Behavior Analyst | 103K00000X | 174740 | KY | Primary |
Addresses
Primary practice location
207 Townepark Cir
Louisville, KY 40243-2321
Mailing address
107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Phone (270) 765-2605
Other practice location 1
331 S 3rd St
Bardstown, KY 40004-1032
Phone (502) 348-9206
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174740 | KY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Behavioral Advancements, LLC | Behavior Analyst | 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.
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1851510374
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1124335054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CRANES ROOST CT",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427013650",
"telephone_number": "270-765-2605",
"fax_number": "270-234-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 TOWNEPARK CIR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402432321",
"telephone_number": "606-677-2636"
}
],
"practiceLocations": [
{
"address_1": "331 S 3rd St",
"address_purpose": "LOCATION",
"city": "Bardstown",
"state": "KY",
"postal_code": "400041032",
"country_code": "US",
"telephone_number": "502-348-9206",
"fax_number": "502-422-4882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENDLEY",
"first_name": "AMBERLY",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "174740",
"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 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.