Individual provider Active NPI

Katherine Hoover, PH.D.

  • Psychologist
  • La Grange, KY
National Provider Identifier
1346487063
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
KY-1488 Issued in KY
Practice address
208 Parker Dr
Suite 1D
La Grange, KY 40031-2233
Phone
(502) 418-1693
Fax
(502) 222-5252
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X KY-1488 KY Primary

Addresses

Primary practice location

208 Parker Dr
Suite 1D
La Grange, KY 40031-2233

Mailing address

PO Box 66
Lagrange, KY 40031-0066
Phone (502) 418-1693

Other names 1

  • Katherine Hoover Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090312000102 KY Practitioner - Clinical Psychologist 8224194519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

208 Parker Dr
Unit 1D
La Grange, KY 40031-2227
Phone (502) 418-1693

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KY-1488KYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Hoover, PH.D.,PLLC CurrentSince May 24, 2011 Accepting new patients
Edelson and Associates, Inc. Psychologist PastSince May 13, 2016 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. Past Accepting new patients

Locations

208 Parker Dr
Unit 1D
Lagrange, KY 40031
Phone (502) 418-1693

Organizations & group practices 3

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": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1346487063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "400310066",
            "telephone_number": "502-418-1693",
            "fax_number": "502-222-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PARKER DR",
            "address_2": "SUITE 1D",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400312233",
            "telephone_number": "502-418-1693",
            "fax_number": "502-222-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "KATHERINE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "KY-1488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HOOVER",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.