NPIMap

Organization Active NPI

US Psychiatry PLLC

  • Psychiatry Physician
  • Louisville, KY
National Provider Identifier
1902255359
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
US PSYCHIATRY PLLC
Practice address
14706 Forest Oaks Dr
Louisville, KY 40245-4695
Phone
(502) 419-0410
Fax
(502) 470-9997
NPI assigned
Jun 7, 2016
Last updated
Jun 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Sunil Chhibber, MDNPI 1831142850
Title
Owner
Phone
(502) 419-0410

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

14706 Forest Oaks Dr
Louisville, KY 40245-4695

Mailing address

PO Box 639188
Cincinnati, OH 45263-9188
Phone (502) 419-0410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160726001946 KY Part B Supplier - Clinic/Group Practice 4385937598 Receives reassigned benefits from 21 practitioners
Practice locations: Prospect, KY; Crestwood, KY; Nicholasville, KY; Louisville, KY; Bardstown, KY; Erlanger, KY; Lexington, KY
O20260429003795 IN Part B Supplier - Clinic/Group Practice 4385937598 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, IN

National Provider Directory

National Provider Directory

Locations

1850 Bluegrass Ave
#U
Louisville, KY 40215

200 Abraham Flexner Way
#U
Louisville, KY 40202
Phone (502) 797-3338

2020 Newburg Rd
#U
Louisville, KY 40205

220 Abraham Flexner Way
#U
Louisville, KY 40202

2823 Frankfort Ave
Louisville, KY 40206
Phone (502) 893-0241

950 S 1st St
Louisville, KY 40203
Phone (502) 585-9444

Practitioners & affiliated clinicians

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 97

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1902255359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639188",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639188",
            "telephone_number": "502-419-0410",
            "fax_number": "502-470-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14706 FOREST OAKS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454695",
            "telephone_number": "502-419-0410",
            "fax_number": "502-470-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "CHHIBBER",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-419-0410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jun 10, 2019; 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.