Individual provider Active NPI

Mariano A Galang III, M.D.

  • Psychiatry Physician
  • Louisville, KY
National Provider Identifier
1346283603
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
27611 Issued in KY
Practice address
1406 Browns LN Ste G
Louisville, KY 40207-4656
Phone
(502) 897-1515
Fax
(502) 897-1557
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 27611 KY Primary

Addresses

Primary practice location

1406 Browns LN Ste G
Louisville, KY 40207-4656

Mailing address

1406 Browns LN Ste G
Louisville, KY 40207-4656
Phone (502) 897-1515

Other identifiers 2

IdentifierTypeStateIssuer
0768211OtherKYMEDICARE ID
30605018MedicaidKY

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000075 KY Practitioner - Psychiatry 6709774201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Clark Medical Group LLCGroup PAC ID 3971879354, 21 clinicians

Practice addresses (Care Compare)

645 S Roy Wilkins Ave
Suite 200
Louisville, KY 40203-2072
Phone (502) 244-9859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27611KYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Remind Health Group, LLC CurrentSince Feb 10, 2024 Accepting new patients
North Clark Medical Group LLC CurrentSince Sep 13, 2021 Accepting new patients
Louisville Behavioral Health Systems PLLC Psychiatry PastSince Aug 25, 2000 Accepting new patients
Communicare Inc Past Accepting new patients
Tabler Clinical Services, PSC Psychiatry PastSince Jun 1, 1992 Accepting new patients
Dr Charles Bensenhaver III LLC PastSince Jan 31, 2023 Accepting new patients
Communicare Inc Past Accepting new patients

Locations

2100 Market St
Ste 101
Charlestown, IN 47111
Phone (812) 503-5100

106 E Jefferson St
La Grange, KY 40031
Phone (502) 233-3290

1939 Goldsmith Ln
Ste 117
Louisville, KY 40218
Phone (502) 381-9053

680 S 4th St
Louisville, KY 40202
Phone (502) 596-6063

202 E Market St
Louisville, KY 40202

5115 S 3rd St
Louisville, KY 40214
Phone (502) 233-3030

501 Baxter Ave
Ste 125
Louisville, KY 40204
Phone (502) 233-3290

645 S Roy Wilkins Ave
#200
Louisville, KY 40203
Phone (502) 561-0520

1211 W Broadway
Ste A
Louisville, KY 40203
Phone (502) 233-3290

Organizations & group practices 7

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1346283603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 BROWNS LN STE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074656",
            "telephone_number": "502-897-1515",
            "fax_number": "502-897-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 BROWNS LN STE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074656",
            "telephone_number": "502-897-1515",
            "fax_number": "502-897-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANG",
        "first_name": "MARIANO",
        "middle_name": "A",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "27611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0768211",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.