Organization Active NPI

Health Psychology Associates, PSC

  • Health Psychologist
  • Louisville, KY
National Provider Identifier
1730317801
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
0867 Issued in KY
Legal business name
HEALTH PSYCHOLOGY ASSOCIATES, PSC
Practice address
101 Crescent Ave Ste a
Louisville, KY 40206-1512
Phone
(502) 413-5228
Fax
(502) 413-5995
NPI assigned
Jun 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Brian R Monsma, PH.D.NPI 1114155272
Title
Owner / Psychologist
Phone
(502) 413-5228

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
Health PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0004X 0867 KY Primary

Addresses

Primary practice location

101 Crescent Ave Ste a
Louisville, KY 40206-1512

Mailing address

PO Box 8116
Louisville, KY 40257-8116
Phone (502) 413-5228

Other identifiers 2

IdentifierTypeStateIssuer
DQ6556OtherKYRR MEDICARE
7100112570MedicaidKY

National Provider Directory

National Provider Directory

Locations

101 Crescent Ave
Ste A
Louisville, KY 40206
Phone (502) 413-5228

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": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1730317801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8116",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402578116",
            "telephone_number": "502-413-5228",
            "fax_number": "502-413-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CRESCENT AVE STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061512",
            "telephone_number": "502-413-5228",
            "fax_number": "502-413-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PSYCHOLOGY ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "MONSMA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER / PSYCHOLOGIST",
        "authorized_official_telephone_number": "502-413-5228",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": "KY",
            "license": "0867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DQ6556",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100112570",
            "state": "KY"
        }
    ],
    "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 11, 2011; 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.