Organization Active NPI

Professional Assessment & Therapeutic Services PSC

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1376907949
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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
Last updated
Apr 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Bruce Paul Carney, PHD
Title
Owner
Phone
(270) 317-4198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1161 E Broadway
Louisville, KY 40204-1711

Mailing address

920 Lawrence St
Brandenburg, KY 40108-1400
Phone (270) 317-4198

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "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": []
}

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 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.

Verify at the official NPI Registry.