Individual provider Active NPI

Curtis Dale Chandler, MS

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1336246594
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003 Issued in KY
Practice address
1448 Gardiner LN
Louisville, KY 40213-1978
Phone
(502) 456-9998
Fax
(502) 456-9923
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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 003 KY Primary

Addresses

Primary practice location

1448 Gardiner LN
Louisville, KY 40213-1978

Mailing address

1448 Gardiner LN
Louisville, KY 40213-1978
Phone (502) 456-9998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100105000080 KY Practitioner - Psychologist Billing Independently 5799826384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitten Psychological Services PLLCGroup PAC ID 7214169937, 4 clinicians

Practice addresses (Care Compare)

1028 Main St
Shelbyville, KY 40065-1315
Phone (502) 647-2477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
003KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Whitten Psychological Services, PLLC. CurrentSince Jun 1, 2019 Accepting new patients
Zafrin B Syed, M.D., PLLC Past Accepting new patients

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1336246594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 GARDINER LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131978",
            "telephone_number": "502-456-9998",
            "fax_number": "502-456-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 GARDINER LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131978",
            "telephone_number": "502-456-9998",
            "fax_number": "502-456-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "CURTIS",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "003",
            "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 Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.