Individual provider Active NPI

Richard T. Purvis, PSY.D.

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1780747899
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
KY0935 Issued in KY
Practice address
1230 S Hurstbourne Pkwy
Suite 245
Louisville, KY 40222-5757
Phone
(502) 456-1990
Fax
(502) 473-0667
NPI assigned
Dec 19, 2006
Last updated
Aug 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X KY0935 KY Primary

Addresses

Primary practice location

1230 S Hurstbourne Pkwy
Suite 245
Louisville, KY 40222-5757

Mailing address

1230 S Hurstbourne Pkwy
Suite 245
Louisville, KY 40222-5757
Phone (502) 456-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000801 KY Practitioner - Clinical Psychologist 4688637713 Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1230 S Hurstbourne Pkwy
Suite 245
Louisville, KY 40222-5797
Phone (502) 456-1990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0935KYMDMental Health Counselor
KY0935KYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1780747899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S HURSTBOURNE PKWY",
            "address_2": "SUITE 245",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225757",
            "telephone_number": "502-456-1990",
            "fax_number": "502-473-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S HURSTBOURNE PKWY",
            "address_2": "SUITE 245",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225757",
            "telephone_number": "502-456-1990",
            "fax_number": "502-473-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "RICHARD",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "KY0935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.