Paul R Kensicki, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33805 Issued in KY

Practice address

550 S Jackson St
Louisville, KY 40202-1622

Phone

(502) 852-1931

Fax

(502) 852-5098

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lake Cumberland Regional Mental Health Mental Retardation Board, Inc.

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1336172642
  NPD (past)
• University Psychiatric Foundation, Inc.

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1457539140
  NPD (past)
• University Psychiatric Services, PSC

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1881666949
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1851362040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3367",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402013367",
            "telephone_number": "502-813-6655",
            "fax_number": "502-813-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021622",
            "telephone_number": "502-852-1931",
            "fax_number": "502-852-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENSICKI",
        "first_name": "PAUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "33805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200825440",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "79959",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0026956",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64338056",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Lynn Kenney, LCSW, LMFT
• Roberta Y Kenney
• Tina Angela Kenney, BC-HIS
• John Terrance Kenny, MD
• Shannon Kenny
• Alexander G Kent
• Latanya Patrice Kent, MOT, OTRL
• Sintelle Kemper Kent, DMD
• Kentuckiana Adult Medicine Specialists
• Kentuckiana Allergy PSC

• Psychiatry Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.