Kathleen Smith

Primary specialty

PsychologistTaxonomy code 103T00000X

License

130775 Issued in KY

Practice address

6000 Brownsboro Park Blvd Ste G
Louisville, KY 40207-7201

Phone

(502) 681-3219

Fax

(502) 721-0333

NPI assigned

Aug 15, 2006

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mast Memory and Psychological Services

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1366272106
  NPD
• Seven Counties Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
  • NPI 1598793671

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1548273741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BROWNSBORO PARK BLVD STE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402077201",
            "telephone_number": "502-681-3219",
            "fax_number": "502-681-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BROWNSBORO PARK BLVD STE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402077201",
            "telephone_number": "502-681-3219",
            "fax_number": "502-721-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "130775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Destinee Smith, M.A., CCC-SLP
• Justin Warren Smith, CRNA
• Kara Smith
• Karen Smith
• Katherine Chelsey Smith, PHARMD
• Kathryn Smith, COTA
• Kayla Smith
• Kayla Smith, RBT
• Kenneth R Smith, M.D.
• Kevin S Smith, MD

• Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.