Active NPI
Katrina McBride, PH.D.
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1306235452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1112
- Practice address
- 6009 Brownsboro Park Blvd Ste C
Louisville, KY 40207-1291 - Phone
- (502) 523-8871
- NPI assigned
- Jan 13, 2015
- Last updated
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1112 | KY | Primary |
Addresses
Primary practice location
6009 Brownsboro Park Blvd Ste C
Louisville, KY 40207-1291
Mailing address
6009 Brownsboro Park Blvd Ste C
Louisville, KY 40207-1291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1306235452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6009 BROWNSBORO PARK BLVD STE C",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402071291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6009 BROWNSBORO PARK BLVD STE C",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402071291",
"telephone_number": "502-523-8871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "KATRINA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "1112",
"primary": true
}
],
"identifiers": [],
"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 Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.