Active NPI
Zachary Culver, M.S.
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1477665149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0102
- Practice address
- 4010 Dupont Cir
Suite 562
Louisville, KY 40207-4812 - Phone
- (502) 727-8715
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 7, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0102 | KY | Primary |
Addresses
Primary practice location
4010 Dupont Cir
Suite 562
Louisville, KY 40207-4812
Mailing address
4010 Dupont Cir
Suite 562
Louisville, KY 40207-4812
Phone (502) 727-8715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141010002060 | KY | Practitioner - Psychologist Billing Independently | 4082834494 | Practice locations: Louisville, KY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simetria Fall Prevention Centers LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1477665149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR",
"address_2": "SUITE 562",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074812",
"telephone_number": "502-727-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR",
"address_2": "SUITE 562",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074812",
"telephone_number": "502-727-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULVER",
"first_name": "ZACHARY",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "0102",
"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 Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.