Individual provider Active NPI

Elizabeth Swabek, PSYD

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1801305461
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
174606 Issued in KY
Practice address
3703 Taylorsville Rd Ste 221
Louisville, KY 40220-1331
Phone
(502) 592-1736
NPI assigned
Sep 27, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 174606 KY Primary

Addresses

Primary practice location

3703 Taylorsville Rd Ste 221
Louisville, KY 40220-1331

Mailing address

3703 Taylorsville Rd Ste 221
Louisville, KY 40220-1331

Other practice location 1

2302 Hurstbourne Village Dr Ste 300
Louisville, KY 40299-1843
Phone (502) 491-9720

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
I20171122000633 KY Practitioner - Clinical Psychologist 4789941022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Therapy Louisville, PLLCGroup PAC ID 4789942152, 3 clinicians

Practice addresses (Care Compare)

3703 Taylorsville Rd
Louisville, KY 40220-1354
Phone (502) 592-1736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
174606KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Therapy Louisville, PLLC CurrentSince Oct 21, 2017 Accepting new patients

Locations

3703 Taylorsville Rd
Ste 211
Louisville, KY 40220
Phone (502) 592-1736

3703 Taylorsville Rd
Ste 221
Louisville, KY 40220
Phone (502) 592-1736

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801305461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 TAYLORSVILLE RD STE 221",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 TAYLORSVILLE RD STE 221",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201331",
            "telephone_number": "502-592-1736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 Hurstbourne Village Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402991843",
            "country_code": "US",
            "telephone_number": "502-491-9720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWABEK",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "174606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.