Active NPI
Marlena F Woodmansee, PSY.D.
- Psychologist
- Louisville, KY
National Provider Identifier
1134325905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1194
- Practice address
- 2915 Frankfort Ave Ste D
Louisville, KY 40206-2682 - Phone
- (502) 905-2541
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1194 | KY | Primary |
Addresses
Primary practice location
2915 Frankfort Ave Ste D
Louisville, KY 40206-2682
Mailing address
2541 Trevilian Way
Louisville, KY 40205-2323
Phone (502) 905-2541
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 |
|---|---|---|---|
| 1194 | KY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1134325905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2541 TREVILIAN WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052323",
"telephone_number": "502-905-2541",
"fax_number": "502-454-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 FRANKFORT AVE STE D",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402062682",
"telephone_number": "502-905-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODMANSEE",
"first_name": "MARLENA",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "1194",
"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 Oct 14, 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.