Jonathan Bauman, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

268117 Issued in KY

Practice address

4205 Springhurst Blvd Ste 202
Louisville, KY 40241-6160

Phone

(502) 618-2060

NPI assigned

Jan 18, 2021

Last updated

Jan 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1346839941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 SPRINGHURST BLVD STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416160",
            "telephone_number": "502-618-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 SPRINGHURST BLVD STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416160",
            "telephone_number": "502-618-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "268117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jonathan@kycards.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "4205 Springhurst Blvd Ste 202",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402416160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tammy M Baum, OTRL
• Carl N. Bauman, D.M.D.
• Chad Bauman
• Chase Bauman
• Jennifer Lynn Bauman
• Donald Thomas Baumann, DMD
• Herman A Baumann, MD
• Patrick Dalton Baumann, M.D.
• Madeline Carol Baumgardner, LCSW
• Heron Baumgarten

• Clinical Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.