Bellewood Presbyterian Home for Children

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN

Practice address

11103 Park Rd
Louisville, KY 40223-2424

Phone

(502) 245-4171

Fax

(502) 245-7447

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jerry L Cantrell, LMFT

Title

Executive Director

Phone

(502) 245-4171

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851435705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23309",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402230309",
            "telephone_number": "502-245-4171",
            "fax_number": "502-245-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11103 PARK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232424",
            "telephone_number": "502-245-4171",
            "fax_number": "502-245-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-245-4171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29900016",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65936098",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya R. Bell, RNFA, CNOR
• Socorro Rosales Bella-Oropilla, M.D.
• Rohan Bellary
• Cecil Holloway Belle
• Emily-Eden Anna Belle
• Carlos Andres Bello, BA, RBT
• Erika Alexandra Belloso Gonzalez
• Trudi F Bellou, M.S., R.D., L.D.
• Christopher Robert Bellucci, OTR/L
• Leslie Belmont, APRN-CNP

• Emotionally Disturbed Childrens' Residential Treatment Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.