Individual provider Active NPI

Adam Brickler, PSY.D

  • Psychologist
  • Louisville, KY
National Provider Identifier
1174700470
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2005-104 Issued in KY
Practice address
7511 New Lagrange Rd
Louisville, KY 40222-4859
Phone
(502) 423-1151
Fax
(502) 423-1748
NPI assigned
Jan 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2005-104 KY Primary

Addresses

Primary practice location

7511 New Lagrange Rd
Louisville, KY 40222-4859

Mailing address

7511 New Lagrange Rd
Louisville, KY 40222-4859
Phone (502) 423-1151

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
I20080408000436 KY Practitioner - Clinical Psychologist 1658458112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

1901 Campus PL
Louisville, KY 40299-2308

7511 New la Grange Rd
Louisville, KY 40222-4859

7511 New Lagrange Rd
Louisville, KY 40222-4859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005-104KYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Apr 19, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, PC CurrentSince Apr 19, 2024 Accepting new patients

Locations

230 Lexington Green Cir
Ste 420
Lexington, KY 40503
Phone (859) 287-0760

7511 New La Grange Rd
Louisville, KY 40222
Phone (502) 423-1151

10509 Timberwood Cir
Ste 250
Louisville, KY 40223
Phone (501) 423-1151

Organizations & group practices 3

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1174700470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 NEW LAGRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224859",
            "telephone_number": "502-423-1151",
            "fax_number": "502-423-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 NEW LAGRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224859",
            "telephone_number": "502-423-1151",
            "fax_number": "502-423-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKLER",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "2005-104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.