Active NPI
Karen Melisa Eisenmenger, PH.D.
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1316372428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- KY1774
- Practice address
- 1169 Eastern Parkway
Suite 3443
Louisville, KY 40217 - Phone
- (502) 456-5089
- NPI assigned
- Sep 8, 2013
- Sex
- Female
- Sole proprietor
- No
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 | KY1774 | KY | Primary |
Addresses
Primary practice location
1169 Eastern Parkway
Suite 3443
Louisville, KY 40217
Mailing address
1169 Eastern Parkway
Suite 3443
Louisville, KY 40217
Phone (502) 456-5089
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180926001692 | KY | Practitioner - Clinical Psychologist | 6002104890 | Practice locations: Louisville, KY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY1774 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1316372428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 EASTERN PARKWAY",
"address_2": "SUITE 3443",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40217",
"telephone_number": "502-456-5089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 EASTERN PARKWAY",
"address_2": "SUITE 3443",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40217",
"telephone_number": "502-456-5089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENMENGER",
"first_name": "KAREN",
"middle_name": "MELISA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-08",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "KY1774",
"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 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.