Active NPI
Cynthia Carol Gawarecki
- Psychiatry Physician
- Louisville, KY
National Provider Identifier
1447260377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 30495
- Practice address
- 1169 Eastern Pkwy Ste 1149
Louisville, KY 40217-1462 - Phone
- (502) 432-3229
- Fax
- (502) 688-5098
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 30495 | KY | Primary |
Addresses
Primary practice location
1169 Eastern Pkwy Ste 1149
Louisville, KY 40217-1462
Mailing address
1169 Eastern Pkwy Ste 1149
Louisville, KY 40217-1462
Phone (502) 432-3229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Louisville School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
711 Frankfort Rd
Shelbyville, KY 40065-9447
Phone (502) 633-3486
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PPL Therapeutic Services PLLC | Psychiatry | Current | Accepting new patients |
Locations
100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111
711 Frankfort Rd
Shelbyville, KY 40065
Phone (502) 513-1872
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667001600000",
"number": "1447260377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 EASTERN PKWY STE 1149",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171462",
"telephone_number": "502-432-3229",
"fax_number": "502-688-5098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 EASTERN PKWY STE 1149",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171462",
"telephone_number": "502-432-3229",
"fax_number": "502-688-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWARECKI",
"first_name": "CYNTHIA",
"middle_name": "CAROL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2022-10-29",
"certification_date": "2022-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "30495",
"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 Oct 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.