Active NPI
Marina Sud
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1538230651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1652
- Practice address
- 7400 New Lagrange Rd.
Ste 310
Louisville, KY 40222-4870 - Phone
- (914) 475-7256
- NPI assigned
- Nov 11, 2006
- Last updated
- Apr 5, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 014487-1 | NY | |
| Clinical Psychologist | 103TC0700X | 1652 | KY | Primary |
Addresses
Primary practice location
7400 New Lagrange Rd.
Ste 310
Louisville, KY 40222-4870
Mailing address
7400 New Lagrange Rd.
Suite 310
Louisville, KY 40222-4870
Phone (914) 475-7256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1834 Gresham Rd
Louisville, KY 40205-2424
Phone (914) 475-7256
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1652 | KY | MD | Social Worker |
| 014487-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stress Reduction and Psychological Services, PC | Clinical | Past | Accepting new patients |
Interoperability endpoints
- marina.sud.1@30520.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Psychologist
- Louisville, KY
- NPI 1104446921
-
dba Center for Stress Reduction
- Clinical Psychologist
- Goshen, NY
- NPI 1376607838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1538230651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 NEW LAGRANGE RD.",
"address_2": "SUITE 310",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224870",
"telephone_number": "914-475-7256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 NEW LAGRANGE RD.",
"address_2": "STE 310",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224870",
"telephone_number": "914-475-7256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUD",
"first_name": "MARINA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-11",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014487-1",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "1652",
"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 Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.