Active NPI
Professional Assessment & Therapeutic Services PSC
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1376907949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- PROFESSIONAL ASSESSMENT & THERAPEUTIC SERVICES PSC
- Practice address
- 1161 E Broadway
Louisville, KY 40204-1711 - Phone
- (502) 561-0952
- NPI assigned
- Apr 11, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Bruce Paul Carney, PHD
- Title
- Owner
- Phone
- (270) 317-4198
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1161 E Broadway
Louisville, KY 40204-1711
Mailing address
920 Lawrence St
Brandenburg, KY 40108-1400
Phone (270) 317-4198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2016.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460332800000",
"number": "1376907949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 LAWRENCE ST",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401081400",
"telephone_number": "270-317-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 E BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041711",
"telephone_number": "502-561-0952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL ASSESSMENT & THERAPEUTIC SERVICES PSC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-11",
"last_updated": "2016-04-11",
"status": "A",
"authorized_official_last_name": "CARNEY",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-317-4198",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.