Individual provider Active NPI

Vickie Pusateri, MSW, MFT, EDD

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1588052203
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01-0049 Issued in KY
Practice address
18401 Bridgemore LN
Louisville, KY 40245-4383
Phone
(502) 394-8264
Fax
(502) 245-4898
NPI assigned
Jan 5, 2015
Last updated
Jan 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 01-0049 KY Primary

Addresses

Primary practice location

18401 Bridgemore LN
Louisville, KY 40245-4383

Mailing address

18401 Bridgemore Lane
Louisville, KY 40245
Phone (502) 394-8264

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01-0049KYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1588052203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18401 BRIDGEMORE LANE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40245",
            "telephone_number": "502-394-8264",
            "fax_number": "502-245-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18401 BRIDGEMORE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454383",
            "telephone_number": "502-394-8264",
            "fax_number": "502-245-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSATERI",
        "first_name": "VICKIE",
        "credential": "MSW, MFT, EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "01-0049",
            "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 Jan 5, 2015; 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.