Individual provider Active NPI

Angela Clark Durham, M.D.

  • Psychiatry Physician
  • Louisville, KY
National Provider Identifier
1265695407
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
TP931 Issued in KY
Practice address
101 N 7TH St
Louisville, KY 40202-2924
Phone
(833) 351-8255
NPI assigned
Jul 8, 2008
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X TP931 KY Primary

Addresses

Primary practice location

101 N 7TH St
Louisville, KY 40202-2924

Mailing address

4692 Firebrook Blvd
Lexington, KY 40513-1485
Phone (859) 475-3846

Other practice location 1

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255

Other practice location 2

6200 Hospitality Dr Fl 1
Franklin, TN 37067-5023
Phone (833) 351-8255

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
I20240228001142 KY Practitioner - Psychiatry 5799120945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

2300 Litton LN
Suite 250
Hebron, KY 41048-9132
Phone (833) 351-8255

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
2ND Chance Current Accepting new patients
Aptiva Health CurrentSince Jul 1, 2025 Accepting new patients
2ND Chance CurrentSince Jan 15, 2024 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 20, 2026 Accepting new patients
Aptiva Health CurrentSince Jul 1, 2025 Accepting new patients

Locations

2093 Medical Arts Dr
Hebron, KY 41048
Phone (859) 442-6600

2300 Litton Ln
Ste 250
Hebron, KY 41048
Phone (513) 257-8982

1420 N Broadway
Lexington, KY 40505
Phone (859) 255-4411

101 N 7th St
Louisville, KY 40202
Phone (502) 561-3464

10100 Linn Station Rd
Ste 1A
Louisville, KY 40223
Phone 5029090772 ext. 85585

3611 Newburg Rd
Louisville, KY 40218

3615 Newburg Rd
Louisville, KY 40218
Phone (502) 583-1011

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

6200 Hospitality Dr
Fl 1
Franklin, TN 37067

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1265695407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4692 FIREBROOK BLVD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131485",
            "telephone_number": "859-475-3846"
        },
        {
            "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": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W 27th St Rm 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016208",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 Hospitality Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370675023",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "ANGELA",
        "middle_name": "CLARK",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "TP931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.