Organization Active NPI

Dennis Buchholz PHD and Associates

  • Adult Mental Health Clinic/Center
  • Louisville, KY
National Provider Identifier
1265893598
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
482 Issued in KY
Legal business name
DENNIS BUCHHOLZ PHD AND ASSOCIATES
Practice address
1161 E Broadway
Louisville, KY 40204-1711
Phone
(502) 561-0952
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Dr. Dennis J Buchholz, PHD
Title
Owner
Phone
(502) 561-0952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 482 KY Primary

Addresses

Primary practice location

1161 E Broadway
Louisville, KY 40204-1711

Mailing address

1161 E Broadway
Louisville, KY 40204-1711
Phone (502) 561-0952

Other identifiers 1

IdentifierTypeStateIssuer
89004824MedicaidKY

National Provider Directory

National Provider Directory

Locations

1161 E Broadway
Louisville, KY 40204
Phone (502) 561-0952

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1265893598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041711",
            "telephone_number": "502-561-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041711",
            "telephone_number": "502-561-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS BUCHHOLZ PHD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "BUCHHOLZ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-561-0952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "KY",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89004824",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.