Active NPI
Stelios Jack Stylianou, PSY.D.
- Clinical Child & Adolescent Psychologist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 2012-107
- Practice address
- 548 Brentwood Ave
Louisville, KY 40215-2844 - Phone
- (502) 693-3437
- NPI assigned
- Feb 28, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2012-107 | KY | Primary |
Addresses
Primary practice location
548 Brentwood Ave
Louisville, KY 40215-2844
Mailing address
548 Brentwood Ave
Louisville, KY 40215-2844
Phone (502) 693-3437
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10100 Linn Station Rd
Suite 1a
Louisville, KY 40223-3861
Phone (502) 909-0772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-107 | KY | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aptiva Health | Current | Accepting new patients | |
| Aptiva Health | Current | Accepting new patients |
Locations
529 Westport Rd
Ste 2
Elizabethtown, KY 42701
2093 Medical Arts Dr
Hebron, KY 41048
Phone (859) 442-6600
426 Codell Dr
Ste 100
Lexington, KY 40509
230 Fountain Ct
Ste 180
Lexington, KY 40509
Phone (859) 276-5008
12300 Plantside Dr
Louisville, KY 40299
401 N English Station Rd
Louisville, KY 40223
3615 Newburg Rd
Louisville, KY 40218
Phone (502) 583-1011
300 S 13th St
Louisville, KY 40203
Phone (502) 583-1011
10100 Linn Station Rd
Ste 1A
Louisville, KY 40223
Phone 5029090772 ext. 85585
3611 Newburg Rd
Louisville, KY 40218
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Louisville, KY
- NPI 1669967881
-
- Durable Medical Equipment & Medical Supplies
- Elizabethtown, KY
- NPI 1326877952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1841530722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 BRENTWOOD AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402152844",
"telephone_number": "502-693-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 BRENTWOOD AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402152844",
"telephone_number": "502-693-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STYLIANOU",
"first_name": "STELIOS",
"middle_name": "JACK",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-28",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "KY",
"license": "2012-107",
"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 Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.