Light Psychiatric Services, PSC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

36355 Issued in KY

Legal business name

LIGHT PSYCHIATRIC SERVICES, PSC

Practice address

13113 Eastpoint Park Blvd
Suite D
Louisville, KY 40223-4191

Phone

(502) 244-5437

Fax

(502) 244-5003

NPI assigned

Dec 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael John Light, MD

Title

Ceo

Phone

(502) 244-5437

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Smith Arnold, LCC

  • Professional Counselor
  • Louisville, KY
  • NPI 1114125374
  NPD (past)
• Aimee Lynn Osborne, LMT

  • Massage Therapist
  • Louisville, KY
  • NPI 1073754834
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578628392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13113 EASTPOINT PARK BLVD",
            "address_2": "SUITE D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234191",
            "telephone_number": "502-244-5437",
            "fax_number": "502-244-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13113 EASTPOINT PARK BLVD",
            "address_2": "SUITE D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234191",
            "telephone_number": "502-244-5437",
            "fax_number": "502-244-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT PSYCHIATRIC SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-244-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "KY",
            "license": "36355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifewise Inc.
• Lifeworks LLC
• Lifeworks of Kentucky
• Lifeworks of Kentucky LLC
• Toya M Liggons, CSW, LCADC
• Clarissa Lightsy
• Sharonda N Lightsy, CRNA
• Christina Marie Ligibel, M.ED., LPATA
• Dwayne Likens, DO
• Lil Cutia Enterprises, LLC

• Preferred Provider Organization in Louisville, KY
• Providers in Louisville, KY by specialty
• Preferred Provider Organization in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.