Organization Active NPI

Groupworks

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1437432580
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
KY1324 Issued in KY
Legal business name
GROUPWORKS
Practice address
2915 Frankfort Ave
Ste. a
Louisville, KY 40206-2682
Phone
(502) 893-4042
Fax
(502) 893-4043
NPI assigned
Sep 26, 2011
Last updated
Sep 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Dr. Tony Lee Sheppard, PSYD
Title
President
Phone
(502) 893-4042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X KY1324 KY Primary

Addresses

Primary practice location

2915 Frankfort Ave
Ste. a
Louisville, KY 40206-2682

Mailing address

2915 Frankfort Ave
Ste. a
Louisville, KY 40206-2682
Phone (502) 893-4042

National Provider Directory

National Provider Directory

Locations

2915 Frankfort Ave
Ste A
Louisville, KY 40206
Phone (502) 893-4042

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1437432580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 FRANKFORT AVE",
            "address_2": "STE. A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062682",
            "telephone_number": "502-893-4042",
            "fax_number": "502-893-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 FRANKFORT AVE",
            "address_2": "STE. A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062682",
            "telephone_number": "502-893-4042",
            "fax_number": "502-893-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUPWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-893-4042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "KY1324",
            "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 Sep 26, 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.