Active NPI
Family & Children Behavior Health Service PSC
- Child & Adolescent Psychiatry Physician
- Louisville, KY
National Provider Identifier
1831433655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- FAMILY & CHILDREN BEHAVIOR HEALTH SERVICE PSC
- Practice address
- 302 E Breckinridge St
Louisville, KY 40203-2328 - Phone
- (502) 561-1112
- Fax
- (502) 561-1113
- NPI assigned
- Nov 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Varanise C Booker, MD
- Title
- President/Owner
- Phone
- (502) 561-1112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary |
Addresses
Primary practice location
302 E Breckinridge St
Louisville, KY 40203-2328
Mailing address
302 E Breckinridge St
Louisville, KY 40203-2328
Phone (502) 561-1112
National Provider Directory
National Provider Directory- Tax ID family
- Family Children Behavior Health Service PSC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Child & Adolescent Psychiatry Physician
- Louisville, KY
- NPI 1699079053
Locations
302 E Breckinridge St
Louisville, KY 40203
Phone (502) 561-1112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353024000000",
"number": "1831433655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 E BRECKINRIDGE ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032328",
"telephone_number": "502-561-1112",
"fax_number": "502-561-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 E BRECKINRIDGE ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032328",
"telephone_number": "502-561-1112",
"fax_number": "502-561-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY & CHILDREN BEHAVIOR HEALTH SERVICE PSC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-16",
"last_updated": "2012-11-16",
"status": "A",
"authorized_official_last_name": "BOOKER",
"authorized_official_first_name": "VARANISE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "502-561-1112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"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 Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.