Katie Beth Deshields, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

216350 Issued in KY

Practice address

806 Stone Creek Pkwy Ste 7
Louisville, KY 40223-5394

Phone

(502) 681-7330

NPI assigned

Oct 1, 2008

Last updated

Nov 7, 2019By 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

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• Deshields Behavioral Wellness, Inc.

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1013371699
  Medicare reassignment Authorized official
• Dawkins Counseling Solutions, Inc.

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1518770833
  NPD

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1639320344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 GARDINER LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053003",
            "telephone_number": "502-681-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 STONE CREEK PKWY STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235394",
            "telephone_number": "502-681-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHIELDS",
        "first_name": "KATIE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "216350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shweta Desai, PHARMD
• Preeti Tara Desaigoudar, MS, CGC
• Ervina Desaussure
• Krista M Desensi, M.D.
• Deshields Behavioral Wellness, Inc.
• Collin Deshler
• Desi Home Care LLC
• Design Well LLC
• Designer Eyewear Inc (St. Matthews Vision Center)
• Vicki J Desilets, CRNA

• 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 Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.