Barbara T Beauchamp, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

129670 Issued in KY

Practice address

633 Baxter Ave
Louisville, KY 40204-1157

Phone

(502) 309-2408

NPI assigned

Oct 11, 2011

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dragonfly Psychological Associates

  • Clinical Psychologist
  • Prospect, KY
  • NPI 1811585227
  NPD Authorized official

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1548545486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400590300",
            "telephone_number": "502-230-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 BAXTER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041157",
            "telephone_number": "502-309-2408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9403 Hobblebush St",
            "address_purpose": "LOCATION",
            "city": "Prospect",
            "state": "KY",
            "postal_code": "400597667",
            "country_code": "US",
            "telephone_number": "502-230-7599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "BARBARA",
        "middle_name": "T",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "129670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "129670",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Thomas Beasley, DPM
• Andrea Zawacki Beaton, MD
• Sean Thomas Beattie, DO
• Brittany Anderson Beaty, DPT
• Jo Elaine Beaty, CRNA
• Brian David Beauerle, M.D.
• Claire Beaulieu, PSY.D
• Amanda Beaumont, LCSW
• Beautiful Hair Solutions LLC
• Beauty Personified LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.