Organization Active NPI

Erin Rush Ortegon, MD, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Louisville, KY
National Provider Identifier
1902596877
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ERIN RUSH ORTEGON, MD, LLC
Practice address
6407 Bardstown Rd # 252
Louisville, KY 40291-3040
Phone
(502) 435-1996
NPI assigned
May 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Erin Rush Ortegon, MDNPI 1821442328
Title
Psychiatrist
Phone
(502) 849-3709

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

6407 Bardstown Rd # 252
Louisville, KY 40291-3040

Mailing address

6407 Bardstown Rd # 252
Louisville, KY 40291-3040
Phone (502) 849-3709

National Provider Directory

National Provider Directory

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": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1902596877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 BARDSTOWN RD # 252",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913040",
            "telephone_number": "502-849-3709",
            "fax_number": "832-336-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 BARDSTOWN RD # 252",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913040",
            "telephone_number": "502-435-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN RUSH ORTEGON, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "RUSH ORTEGON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "502-849-3709",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 5, 2023; 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.