Active NPI
Lisa Ruble, PHD
- Clinical Child & Adolescent Psychologist
- Louisville, KY
National Provider Identifier
1871571810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 96225
- Practice address
- 571 S Floyd St
#100
Louisville, KY 40202-3818 - Phone
- (502) 852-7897
- Fax
- (502) 852-2911
- NPI assigned
- Jan 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 96225 | KY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 96225 | KY | Primary |
Addresses
Primary practice location
571 S Floyd St
#100
Louisville, KY 40202-3818
Mailing address
571 S Floyd St
#100
Louisville, KY 40202-3818
Phone (502) 852-7897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89000053 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2254 | TN | MD | Behavioral Analyst |
| 96225 | KY | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weisskopf Child Evaluation Center | Past | Accepting new patients | |
| University of Louisville Research Foundation Inc | Past | Accepting new patients |
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.
-
dba Cytogentic Laboratory
- Clinical Medical Laboratory
- Louisville, KY
- NPI 1942286489
-
- Developmental - Behavioral Pediatrics Physician
- Louisville, KY
- NPI 1407024664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871571810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 S FLOYD ST",
"address_2": "#100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023818",
"telephone_number": "502-852-7897",
"fax_number": "502-852-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 S FLOYD ST",
"address_2": "#100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023818",
"telephone_number": "502-852-7897",
"fax_number": "502-852-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBLE",
"first_name": "LISA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "KY",
"license": "96225",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "KY",
"license": "96225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89000053",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.