Michael Brandon Banks
Individual provider Active NPI Peer Specialist · Louisville, KY
NPI 1386097145 · NPPES record last updated Jul 18, 2016
Key facts
- NPI
- 1386097145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 950 S 1St St
Louisville, KY 40203-2202 - Phone
- (502) 585-9444
- Fax
- (502) 585-9466
- NPI assigned
- Jul 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgehaven, Inc. | Past |
Accepting new patients | |
| US Psychiatry PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | KY | Yes |
Addresses
Primary practice location
950 S 1St St
Louisville, KY 40203-2202
Mailing address
950 S 1St St
Louisville, KY 40203-2202
Phone (502) 585-9444
Other providers in Louisville, KY
- Ajmal H Bangash
- Joseph C. Banis Jr.
- Banks Transportation Albany LLC
- Diana Marie Banks
- Latonya Renee Banks
- William Banks
- Heather Bannon
- Alexander Ivan Banovz
- Amber Banovz
- Abdurrahman Bansfield
All providers in Louisville, KY · Peer Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.