Heather Bass, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1592 Issued in KY

Practice address

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

Phone

(502) 426-1234

Fax

(502) 426-3388

NPI assigned

Sep 4, 2008

Sex

Female

Sole proprietor

No

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.

• Commonwealth of Kentucky

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1326467986

  KY

  Medicare reassignment NPD
• Commonwealth of Kentucky

  • Skilled Nursing Facility
  • Radcliff, KY
  • NPI 1043686900
  NPD

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1336397207",
    "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": {
        "last_name": "BASS",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humera Bashir, PT
• Dimitrios Sotirios Basilakos, DMD
• Bass Psychiatry
• Danielle Bass, APRN, PMHNP
• Derek Bass
• Jared Stuart Bass, DO
• Lisa Heller Bass, LMFT
• Rachel Ford Bass, NP
• Eliot Andrew Bassett I, DO
• Jill Hayes Bassett, DMD

• All providers in Louisville, KY
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.

Verify at the official NPI Registry.