Louisville Neuropsychology LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1226 Issued in KY

Legal business name

LOUISVILLE NEUROPSYCHOLOGY LLC

Practice address

13293 Obannon Station Way
Louisville, KY 40223-4188

Phone

(502) 254-1001

Fax

(502) 254-1004

NPI assigned

Jun 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael H Cecil, PSYD

Title

Neuropsychologist / President

Phone

(502) 254-1001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1386964658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13293 OBANNON STATION WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234188",
            "telephone_number": "502-254-1001",
            "fax_number": "502-254-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13293 OBANNON STATION WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234188",
            "telephone_number": "502-254-1001",
            "fax_number": "502-254-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "CECIL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST / PRESIDENT",
        "authorized_official_telephone_number": "502-254-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "KY",
            "license": "1226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.