Organization Active NPI

Kentuckiana Mental Health Associates

  • Psychiatry Physician
  • Louisville, KY
National Provider Identifier
1831487784
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
32156 Issued in KY
Legal business name
KENTUCKIANA MENTAL HEALTH ASSOCIATES
Practice address
105 Crescent Ave
Louisville, KY 40206-1525
Phone
(502) 895-4470
Fax
(502) 895-2030
NPI assigned
Jul 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Dr. Peter Michael Steiner, M.D.
Title
Provider/Owner
Phone
(502) 895-4470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 32156 KY Primary

Addresses

Primary practice location

105 Crescent Ave
Louisville, KY 40206-1525

Mailing address

105 Crescent Ave
Louisville, KY 40206-1525
Phone (502) 895-4470

Other identifiers 8

IdentifierTypeStateIssuer
00533067OtherKYKY MEDICARE/NCMA
200422540OtherKYMEDICAID PIN
64042609OtherKYMEDICAID PIN
DB5875OtherKYRAILROAD MEDICARE
64042609OtherKYMEDICAID/NCMA
65942385OtherKYMEDICAID GROUP PIN
200478830AOtherINMEDICAID GROUP PIN
P00115999OtherKYRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

105 Crescent Ave
Louisville, KY 40206
Phone (502) 895-4470

214 Breckenridge Ln
Ste 214
Louisville, KY 40207
Phone (502) 727-1038

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1831487784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CRESCENT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061525",
            "telephone_number": "502-895-4470",
            "fax_number": "502-895-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CRESCENT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061525",
            "telephone_number": "502-895-4470",
            "fax_number": "502-895-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA MENTAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "STEINER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "502-895-4470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "32156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICARE/NCMA",
            "identifier": "00533067",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PIN",
            "identifier": "200422540",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PIN",
            "identifier": "64042609",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB5875",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID/NCMA",
            "identifier": "64042609",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP PIN",
            "identifier": "65942385",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP PIN",
            "identifier": "200478830A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00115999",
            "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 Feb 27, 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.

Verify at the official NPI Registry.