Individual provider Active NPI

Robert L From-Tapp, PSYD

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1295082444
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
164198 Issued in KY
Practice address
1326 S 3Rd St
Louisville, KY 40208-2306
Phone
(502) 551-6668
Fax
(502) 479-3561
NPI assigned
Aug 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 164198 KY Primary

Addresses

Primary practice location

1326 S 3Rd St
Louisville, KY 40208-2306

Mailing address

6024 Cherry LN
Crestwood, KY 40014-9414
Phone (502) 551-6668

Other names 1

  • Dr. Robert L Tapp Jr. Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1295082444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6024 CHERRY LN",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149414",
            "telephone_number": "502-551-6668",
            "fax_number": "502-479-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082306",
            "telephone_number": "502-551-6668",
            "fax_number": "502-479-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROM-TAPP",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "164198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "TAPP",
            "middle_name": "L",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.