Active NPI
Denise L Myers, M.ED.
- Psychologist
- Louisville, KY
National Provider Identifier
1730494907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 171484
- Practice address
- 914 E Broadway
Louisville, KY 40204-1037 - Phone
- (502) 589-8600
- Fax
- (502) 589-8771
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 171484 | KY | Primary |
Addresses
Primary practice location
914 E Broadway
Louisville, KY 40204-1037
Mailing address
3801 Springhurst Blvd.
Suite 205
Louisville, KY 40241
Phone (502) 792-9117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171484 | KY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1730494907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 SPRINGHURST BLVD.",
"address_2": "SUITE 205",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40241",
"telephone_number": "502-792-9117",
"fax_number": "855-645-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 E BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041037",
"telephone_number": "502-589-8600",
"fax_number": "502-589-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "DENISE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "171484",
"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 Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.