Floyd Wallace Cole, PHD
Individual provider Active NPI Clinical Psychologist · Louisville, KY
NPI 1447434972 · NPPES record last updated Feb 28, 2022
Key facts
- NPI
- 1447434972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 275501 (KY)
- Practice address
- 7984 New la Grange Rd
Louisville, KY 40222-4718 - Phone
- (502) 426-2777
- Fax
- (502) 426-2776
- NPI assigned
- Dec 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220207002117 | KY | Practitioner - Clinical Psychologist | 5799039079 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC14203 | DC | MD | Mental Health Counselor |
| 99081736A | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 12 Sherpas, PLLC | Clinical | Current |
Accepting new patients |
| Amy B. Greenamyer, PHD, PLLC | Single Specialty | Past | Accepting new patients |
Locations
7984 New La Grange Rd
Louisville, KY 40222
Phone (502) 426-2777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PRC14203 | DC | |
| Mental Health Counselor | 101YM0800X | 2334 | TN | |
| Clinical Psychologist | 103TC0700X | 99081736A | IN | |
| Clinical Psychologist |
103TC0700X | 275501 | KY | Yes |
Addresses
Primary practice location
7984 New la Grange Rd
Louisville, KY 40222-4718
Mailing address
7984 New la Grange Rd
Louisville, KY 40222-4718
Phone (502) 426-2777
Other providers in Louisville, KY
- Aiesha N Cole
- Amanda Cole
- Amanda Marie Cole
- Cheryl Reid Cole
- Craig Lewis Cole
- Heather Cole
- John B Cole
- Julia Belle Cole
- Laura Katherine Cole
- Lauren Elizabeth Cole
All providers in Louisville, KY · Clinical Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.