Organization Active NPI

Perfect Circle Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • La Grange, KY
National Provider Identifier
1891308474
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PERFECT CIRCLE PSYCHIATRY, LLC
Practice address
202 S 1St Ave
La Grange, KY 40031-2208
Phone
(502) 716-0360
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Christopher FlorioNPI 1134532831
Title
Owner / Pmhnp
Phone
(502) 716-0360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

202 S 1St Ave
La Grange, KY 40031-2208

Mailing address

3101 Colton CT
Crestwood, KY 40014-8473
Phone (502) 716-0360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200909001382 KY Part B Supplier - Clinic/Group Practice 9436577335 Receives reassigned benefits from 1 practitioner
Practice locations: La Grange, KY

National Provider Directory

National Provider Directory

Locations

202 S First Ave
La Grange, KY 40031
Phone (502) 716-0360

202 S First Ave
Ste 1
La Grange, KY 40031
Phone (502) 716-0360

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1891308474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 COLTON CT",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148473",
            "telephone_number": "502-716-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 1ST AVE",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400312208",
            "telephone_number": "502-716-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT CIRCLE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "FLORIO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER / PMHNP",
        "authorized_official_telephone_number": "502-716-0360"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.