Organization Active NPI

Ripe Minds, LLC

  • Clinical Psychologist
  • Shepherdsville, KY
National Provider Identifier
1699546580
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
RIPE MINDS, LLC
Practice address
365 Little Bend Trce
Shepherdsville, KY 40165-6377
Phone
(502) 444-7473
Fax
(502) 669-8955
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Erin Rice
Title
Office Manager
Phone
(502) 444-7473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

365 Little Bend Trce
Shepherdsville, KY 40165-6377

Mailing address

365 Little Bend Trce
Shepherdsville, KY 40165-6377
Phone (502) 444-7473

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240313003522 KY Part B Supplier - Clinic/Group Practice 1759727613 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY; Shepherdsville, KY

National Provider Directory

National Provider Directory

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": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1699546580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LITTLE BEND TRCE",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656377",
            "telephone_number": "502-444-7473",
            "fax_number": "502-669-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LITTLE BEND TRCE",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656377",
            "telephone_number": "502-444-7473",
            "fax_number": "502-669-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPE MINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-444-7473"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.