Active NPI
Jacquelyn Love, PSY.D.
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1376823542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042997A
- Practice address
- 3526 Ephraim McDowell Dr
Louisville, KY 40205-3224 - Phone
- (260) 450-1417
- NPI assigned
- Aug 19, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 173460 | KY | |
| Clinical Psychologist | 103TC0700X | 20042997A | IN | Primary |
Addresses
Primary practice location
3526 Ephraim McDowell Dr
Louisville, KY 40205-3224
Mailing address
175 Country Club Estates Dr SE
Corydon, IN 47112-1799
Phone (260) 450-1417
Other practice location 1
502 Hausfeldt Ln
New Albany, IN 47150-2221
Phone (260) 450-1417
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042997A | IN | MD | Clinical Psychologist |
| 173460 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545609600000",
"number": "1376823542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 COUNTRY CLUB ESTATES DR SE",
"city": "CORYDON",
"state": "IN",
"postal_code": "471121799",
"telephone_number": "260-450-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3526 EPHRAIM MCDOWELL DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053224",
"telephone_number": "260-450-1417"
}
],
"practiceLocations": [
{
"address_1": "502 Hausfeldt Ln",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "471502221",
"country_code": "US",
"telephone_number": "260-450-1417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVE",
"first_name": "JACQUELYN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2018-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "173460",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042997A",
"primary": true
}
],
"identifiers": [],
"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 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.