Psyche C-Pap Pillow, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PSYCHE C-PAP PILLOW, LLC

Practice address

208 Linney Ave
Louisville, KY 40243-1014

Phone

(502) 693-1037

NPI assigned

Jun 6, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Todd DeetschNPI 1053605394

Title

President

Phone

(502) 693-1037

Specialties & licenses 1

Addresses

Practitioners 1

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

• Todd Douglas Deetsch

  • Contractor
  • Louisville, KY
  • NPI 1053605394
  NPD (past) Authorized official

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1902190150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LINNEY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431014",
            "telephone_number": "502-693-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LINNEY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431014",
            "telephone_number": "502-693-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHE C-PAP PILLOW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "DEETSCH",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-693-1037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Louisville, KY
• Providers in Louisville, KY by specialty
• Customized Equipment (DME) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.