Individual provider Active NPI

Amy L Denley, PSY.D.

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1922246016
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
168058 Issued in KY
Practice address
9720 Park Plaza Ave
Suite #102
Louisville, KY 40241-2288
Phone
(502) 339-2442
NPI assigned
Jan 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 970 WV
Clinical Psychologist 103TC0700X 168058 KY Primary

Addresses

Primary practice location

9720 Park Plaza Ave
Suite #102
Louisville, KY 40241-2288

Mailing address

9720 Park Plaza Ave
Suite #102
Louisville, KY 40241-2288
Phone (502) 339-2442

Other identifiers 1

IdentifierTypeStateIssuer
11586339OtherCAQH

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

State licenses

LicenseStateTypeSpecialty
168058KYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1922246016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 PARK PLAZA AVE",
            "address_2": "SUITE #102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412288",
            "telephone_number": "502-339-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 PARK PLAZA AVE",
            "address_2": "SUITE #102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412288",
            "telephone_number": "502-339-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENLEY",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "970",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "168058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11586339",
            "state": null
        }
    ],
    "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 8, 2016; 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.