East End Psychological Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1520 Issued in KY

Legal business name

EAST END PSYCHOLOGICAL ASSOCIATES

Practice address

6520 Glenridge Park PL
Suite #1
Louisville, KY 40222-3453

Phone

(502) 426-1234

Fax

(502) 426-3388

NPI assigned

Oct 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kaveh Zamanian, PHD

Title

Principal Partner

Phone

(502) 426-1234

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1285910109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 GLENRIDGE PARK PL",
            "address_2": "SUITE #1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223453",
            "telephone_number": "502-426-1234",
            "fax_number": "502-426-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 GLENRIDGE PARK PL",
            "address_2": "SUITE #1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223453",
            "telephone_number": "502-426-1234",
            "fax_number": "502-426-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "ZAMANIAN",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "PRINCIPAL PARTNER",
        "authorized_official_telephone_number": "502-426-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1520",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1592",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3446",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.