Organization Active NPI

Kathryn Haendiges PSYD

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1689220386
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KATHRYN HAENDIGES PSYD
Practice address
1941 Bishop LN Ste 711
Louisville, KY 40218-1937
Phone
(502) 377-4758
NPI assigned
Aug 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Kathryn Haendiges, PSYDNPI 1992109862
Title
Owner
Phone
(502) 377-4758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1941 Bishop LN Ste 711
Louisville, KY 40218-1937

Mailing address

1856 Alfresco PL
Louisville, KY 40205-1860
Phone (502) 377-4758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200306002404 KY Part B Supplier - Clinic/Group Practice 6608204532 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

1941 Bishop Ln
Ste 711
Louisville, KY 40218
Phone (502) 377-4758

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1689220386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 ALFRESCO PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051860",
            "telephone_number": "502-377-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 BISHOP LN STE 711",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181937",
            "telephone_number": "502-377-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN HAENDIGES PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-18",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "HAENDIGES",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-377-4758",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Feb 26, 2021; 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.