Individual provider Active NPI

David L Winsch, PH.D.

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1508876392
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
709 Issued in KY
Practice address
1169 Eastern Parkway
Suite 3443
Louisville, KY 40217-1421
Phone
(502) 456-5089
Fax
(502) 456-5089
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 709 KY Primary
Clinical Psychologist 103TC0700X 20040433A IN

Addresses

Primary practice location

1169 Eastern Parkway
Suite 3443
Louisville, KY 40217-1421

Mailing address

1169 Eastern Parkway
Suite 3443
Louisville, KY 40217-1421
Phone (502) 456-5089

Other identifiers 3

IdentifierTypeStateIssuer
89007090MedicaidKY
100021100AOtherININDIANA MEDICAID
244160OtherININDIANA MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20040433AINMDClinical Psychologist
709KYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1508876392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PARKWAY",
            "address_2": "SUITE 3443",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171421",
            "telephone_number": "502-456-5089",
            "fax_number": "502-456-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PARKWAY",
            "address_2": "SUITE 3443",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171421",
            "telephone_number": "502-456-5089",
            "fax_number": "502-456-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSCH",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "709",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040433A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89007090",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA MEDICAID",
            "identifier": "100021100A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA MEDICARE",
            "identifier": "244160",
            "state": "IN"
        }
    ],
    "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 Dec 18, 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.