New Leaf Clinic

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

48956 Issued in KY

Legal business name

NEW LEAF CLINIC

Practice address

2910 W Jefferson St
Louisville, KY 40212

Phone

(502) 435-8321

NPI assigned

Nov 9, 2017

Last updated

Jun 22, 2018By 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. Teresa Walker, MDNPI 1417210824

Title

Psychiatrist/Ceo

Phone

(502) 851-3556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 7

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.

• Teresa Walker, M.D.

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1417210824
  Medicare reassignment Care Compare group NPD Authorized official
• Alecia Eason, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1326701897
  Medicare reassignment Care Compare group NPD
• Calle Janson, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1396118436

  KY

  Medicare reassignment Care Compare group
• Cha'Reme Poynter, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1003102062
  Medicare reassignment NPD
• Latasha Marie White, LCSW,TCADC

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1568930188
  Medicare reassignment NPD
• Tiya Shalyse Johnson, M.D.

  • Child & Adolescent Psychiatry Physician
  • Tyler, TX
  • NPI 1154696359

  KY

  Medicare reassignment NPD
• Azra Alomerovic, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1336477140
  Medicare reassignment

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1659884872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 RUNNING SKY CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402998446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 W JEFFERSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40212",
            "telephone_number": "502-435-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PSYCHIATRIST/CEO",
        "authorized_official_telephone_number": "502-851-3556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "KY",
            "license": "48956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Horizons Foot and Ankle Associates, PLLC
• New Horizons Foot and Ankle Associates, PLLC
• New Horizons Therapy
• New Jefferson Manor, LLC (Jefferson Manor Health & Rehabilitation Center)
• New Jefferson Place, LLC (Jefferson Place)
• New Leaf Clinic Residential
• New Legacy Reentry Corp
• New Life Directions Ministries, Inc
• New Life Pharmacy Inc
• New Life Recovery Center, LLC

• Adult Mental Health Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Adult Mental Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.