Active NPI
Linda Biddle Carlisle, PHD
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1861561359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1022
- Practice address
- 7982 New Lagrange Rd
Suite 4
Louisville, KY 40222 - Phone
- (502) 426-6022
- Fax
- (502) 426-9913
- NPI assigned
- Nov 7, 2006
- Last updated
- Jul 12, 2010
- Sex
- Female
- 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 Psychologist | 103TC0700X | 1022 | KY | Primary |
Addresses
Primary practice location
7982 New Lagrange Rd
Suite 4
Louisville, KY 40222
Mailing address
7982 New Lagrange Rd
Suite 4
Louisville, KY 40222
Phone (502) 426-6022
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000039631 | Other | KY | BLUE CROSS BLUE SHIELD |
| 85164 | Other | KY | HEALTH MINDERS |
| 418667 | Other | KY | PHCS |
| 089442000 | Other | KY | MAGELLAN |
| 1200884 | Other | KY | CMA |
| 102176 | Other | VALUE OPTIONS |
Other names 1
- Miss Linda Diane Biddle
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040203000203 | KY | Practitioner - Clinical Psychologist | 7911890298 | Practice locations: Louisville, KY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7982 New Lagrange Rd
Suite 4
Louisville, KY 40222
7982 New Lagrange Rd
Suite 4
Louisville, KY 40222-4792
Phone (502) 426-6022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1861561359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7982 NEW LAGRANGE RD",
"address_2": "SUITE 4",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40222",
"telephone_number": "502-426-6022",
"fax_number": "502-426-9913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7982 NEW LAGRANGE RD",
"address_2": "SUITE 4",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40222",
"telephone_number": "502-426-6022",
"fax_number": "502-426-9913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLISLE",
"first_name": "LINDA",
"middle_name": "BIDDLE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "1022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000039631",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH MINDERS",
"identifier": "85164",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "418667",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "089442000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMA",
"identifier": "1200884",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "102176",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "BIDDLE",
"middle_name": "DIANE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 12, 2010; 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.