Justine Sever Chilelli, D.O.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

04202 Issued in KY

Practice address

101 N 7TH St
Louisville, KY 40202-2924

Phone

(917) 634-5311

Fax

(888) 815-3583

NPI assigned

May 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Specialty

Psychiatry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/chnk/r4/

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Baptist Convalescent Center, Inc.

  • Skilled Nursing Facility
  • Alexandria, KY
  • NPI 1336298470

  Corporate Director

  CMS ownership
• Baptist Convalescent Center, Inc.

  • Skilled Nursing Facility
  • Erlanger, KY
  • NPI 1619026754

  Corporate Director

  CMS ownership

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.

• MCCD FL Psychiatry Services PA

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1659003457

  KY

  Medicare reassignment Care Compare group NPD
• Children'S Home of Northern Kentucky

  • Psychiatric Residential Treatment Facility
  • Burlington, KY
  • NPI 1326754722
  NPD (past)
• Children'S Home of Northern Kentucky

  • Psychiatric Residential Treatment Facility
  • Covington, KY
  • NPI 1467934315
  NPD (past)
• Children'S Home of Northern Kentucky

  • Psychiatric Residential Treatment Facility
  • Burlington, KY
  • NPI 1508562380
  NPD (past)
• Diocesan Catholic Children'S Home

  • Professional Counselor
  • Ft Mitchell, KY
  • NPI 1841572914
  NPD (past)

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1144549585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST RM 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "917-634-5311",
            "fax_number": "888-815-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 7TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022924",
            "telephone_number": "917-634-5311",
            "fax_number": "888-815-3583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W Winter St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430154635",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Orphanage Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Mitchell",
            "state": "KY",
            "postal_code": "410173006",
            "country_code": "US",
            "telephone_number": "859-331-2040",
            "fax_number": "859-344-5022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILELLI",
        "first_name": "JUSTINE",
        "middle_name": "SEVER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "04202",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "04202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188337",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100464370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Childrens Eye Specialists PLLC
• Alisa Childress
• Faith Childress, PHARMD
• Thomas Wayne Childress Jr., D.P.M
• Ashley Childs, LCSW
• Ken Chillson, DC
• Chilton Capitol Inc.
• Ayryn Page Chilton-Gelfo, PA-C
• Mary Christie Chilton, CRNA
• Meenapratap Chilukuri, MD

• Child & Adolescent Psychiatry Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Child & Adolescent Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.