Individual provider Active NPI

Warren E Lambert III, PH.D.

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1285837369
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
129668 Issued in KY
Practice address
4010 Dupont Cir Ste 419
Louisville, KY 40207-4837
Phone
(502) 409-6993
Fax
(502) 409-6775
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 129668 KY Primary
Clinical Psychologist 103TC0700X 1721 KY

Addresses

Primary practice location

4010 Dupont Cir Ste 419
Louisville, KY 40207-4837

Mailing address

4156 Westport Rd
Suite 214
Louisville, KY 40207-2705
Phone (502) 653-9019

Other practice location 1

4156 Westport Rd
Suite 214
Louisville, KY 40207-2705
Phone (502) 653-9019

Other identifiers 1

IdentifierTypeStateIssuer
1427569219OtherKYSTATE

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
I20151029000752 KY Practitioner - Clinical Psychologist 1355650516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Meridian Behavioral Health IncGroup PAC ID 6709149321, 17 clinicians

Practice addresses (Care Compare)

4010 Dupont Cir
Suite 419
Louisville, KY 40207-4837
Phone (502) 409-6993

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129668KYMDClinical Psychologist
1721KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Health, Inc Clinical CurrentSince Mar 29, 2018 Accepting new patients
Lambert Psychological Services PastSince Jan 19, 2025 Accepting new patients

Locations

4010 DuPont Cir
Ste 420
Louisville, KY 40207
Phone (502) 653-9019

4010 DuPont Cir
Ste 419
Louisville, KY 40207
Phone (502) 409-6993

Organizations & group practices 2

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1285837369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 WESTPORT RD",
            "address_2": "SUITE 214",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072705",
            "telephone_number": "502-653-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 419",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074837",
            "telephone_number": "502-409-6993",
            "fax_number": "502-409-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4156 Westport Rd",
            "address_2": "Suite 214",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402072705",
            "country_code": "US",
            "telephone_number": "502-653-9019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "WARREN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "129668",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "1427569219",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.