Individual provider Active NPI

Frederick J Stocker Jr., MD

  • Child & Adolescent Psychiatry Physician
  • Louisville, KY
National Provider Identifier
1154423739
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
74319 Issued in WI
Practice address
200 E Chestnut St
Louisville, KY 40202-1831
Phone
(502) 588-0800
Fax
(502) 588-0801
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25789 KY
Child & Adolescent Psychiatry Physician 2084P0804X 25789 KY
Child & Adolescent Psychiatry Physician 2084P0804X 74319 WI Primary

Addresses

Primary practice location

200 E Chestnut St
Louisville, KY 40202-1831

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other identifiers 2

IdentifierTypeStateIssuer
64257892MedicaidKY
1154423739MedicaidWI

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081014000817 KY Practitioner - NeuropsychiatryPractitioner - Psychiatry 8426121385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74319WIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC Psychiatry Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Sep 1, 2023 Accepting new patients
Major Hospital Past Accepting new patients
Cardiology Associates of Paducah, PSC Past Accepting new patients
University Psychiatric Foundation, Inc. Psychiatry Past Accepting new patients

Locations

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

1405 E Burnett Ave
Louisville, KY 40217
Phone (502) 473-7219

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

1050 E Market St
Ste 101
Louisville, KY 40206
Phone (502) 588-8900

9880 Angies Way
Ste 330
Louisville, KY 40241
Phone (502) 588-2220

9702 Stonestreet Rd
Ste 100
Louisville, KY 40272
Phone (502) 588-0610

1050 E Market St
Ste 301
Louisville, KY 40206
Phone (502) 629-3099

Interoperability endpoints

  • Direct secure messaging: fstocker43508@direct.nortonhealthcare.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1154423739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021831",
            "telephone_number": "502-588-0800",
            "fax_number": "502-588-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKER",
        "first_name": "FREDERICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "25789",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "25789",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "74319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64257892",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154423739",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.