Bluegrass Advanced Mental Health, LLC.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

BLUEGRASS ADVANCED MENTAL HEALTH, LLC.

Practice address

7410 New Lagrange Rd
Ste 320
Louisville, KY 40222

Phone

(502) 856-7378

Fax

(502) 469-0718

NPI assigned

Oct 27, 2025

Organization subpart

No

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

Authorized official

Name

David Erich Roth, MDNPI 1831197250

Title

Owner

Phone

(808) 741-3031

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Erich Roth, MD

  • Child & Adolescent Psychiatry Physician
  • Louisville, KY
  • NPI 1831197250
  Medicare reassignment NPD Authorized official
• Kimberly Rae Woods, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1083206742
  NPD

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1184592701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 SPRING GLADE PL",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597653",
            "telephone_number": "808-741-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 NEW LAGRANGE RD",
            "address_2": "STE 320",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40222",
            "telephone_number": "502-856-7378",
            "fax_number": "502-469-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS ADVANCED MENTAL HEALTH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ERICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-741-3031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Grass Diagnostics
• Blue Horizon Home Care Agency LLC
• Blue Lick Recovery
• Blue Skies Mental Health, LLC
• Blue Sky Case Management, LLC
• Bluegrass Allergy and Asthma
• Bluegrass Allergy Asthma and Immunology PSC
• Bluegrass Behavioral Health PSC
• Bluegrass Bone & Joint PLLC
• Bluegrass Cardiology Associates PLLC

• 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 Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.