Active NPI
Meghana Suchak, PHD
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1346633674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 174664
- Practice address
- 2325 Lime Kiln LN Ste a
Louisville, KY 40222-3418 - Phone
- (502) 912-1498
- NPI assigned
- Mar 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 174664 | KY | |
| Clinical Psychologist | 103TC0700X | 174664 | KY | Primary |
Addresses
Primary practice location
2325 Lime Kiln LN Ste a
Louisville, KY 40222-3418
Mailing address
4010 Dupont Cir
Ste 574
Louisville, KY 40207-4843
Phone (502) 912-1498
Other practice location 1
4010 DuPont Cir Ste 419
Louisville, KY 40207-4837
Phone (502) 409-6993
Other practice location 2
8134 New LaGrange Rd
Suite 227
Louisville, KY 40222
Phone (765) 423-2638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003458605 | Other | KY | TYPE 11 NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174664 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1346633674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR",
"address_2": "STE 574",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074843",
"telephone_number": "502-912-1498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 LIME KILN LN STE A",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402223418",
"telephone_number": "502-912-1498"
}
],
"practiceLocations": [
{
"address_1": "4010 DuPont Cir Ste 419",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402074837",
"country_code": "US",
"telephone_number": "502-409-6993",
"fax_number": "502-409-6775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8134 New LaGrange Rd",
"address_2": "Suite 227",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "40222",
"country_code": "US",
"telephone_number": "765-423-2638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUCHAK",
"first_name": "MEGHANA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-11",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "174664",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "174664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 11 NPI",
"identifier": "1003458605",
"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 Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.