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
Organization subpart
No

Authorized official

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary 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": []
}

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.