Bruce J Tasch, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22305 Issued in KY

Practice address

6000 Brownsboro Park Blvd
Suite G
Louisville, KY 40207-7201

Phone

(502) 899-9560

Fax

(502) 899-9561

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mast Memory and Psychological Services

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1366272106
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1396726675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BROWNSBORO PARK BLVD",
            "address_2": "SUITE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402077201",
            "telephone_number": "502-899-9560",
            "fax_number": "502-899-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BROWNSBORO PARK BLVD",
            "address_2": "SUITE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402077201",
            "telephone_number": "502-899-9560",
            "fax_number": "502-899-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASCH",
        "first_name": "BRUCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "22305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haseeb Tariq
• Maaz Bin Tariq
• Zain Tariq
• Zachary Wynn Tarter
• David Tarullo, LCADC
• Allan Tasman, M.D.
• Jennifer H Tasman, M.D.
• Dorothy Tata-Oyekan, MD
• Meredith Mader Tatarzycki
• David E Tate, M.D.

• Psychiatry Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.