Active NPI
Mariano A Galang III, M.D.
- Psychiatry Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 27611
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0768211 | Other | KY | MEDICARE ID |
| 30605018 | Medicaid | KY |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27611 | KY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remind Health Group, LLC | Current | Accepting new patients | |
| North Clark Medical Group LLC | Current | Accepting new patients | |
| Louisville Behavioral Health Systems PLLC | Psychiatry | Past | Accepting new patients |
| Communicare Inc | Past | Accepting new patients | |
| Tabler Clinical Services, PSC | Psychiatry | Past | Accepting new patients |
| Dr Charles Bensenhaver III LLC | Past | 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.
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-
- Community/Behavioral Health Agency
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- NPI 1083751424
-
- Community/Behavioral Health Agency
- Hodgenville, KY
- NPI 1821419789
-
- Obesity Medicine (Psychiatry & Neurology) Physician
- Louisville, KY
- NPI 1962108118
-
- Psychiatry Physician
- Louisville, KY
- NPI 1619088549
-
- Psychiatry Physician
- Louisville, KY
- NPI 1437187507
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.
- 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.