Organization Active NPI

Underwood Psychological Services

  • Psychologist
  • Louisville, KY
National Provider Identifier
1942591292
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1330 Issued in KY
Legal business name
UNDERWOOD PSYCHOLOGICAL SERVICES
Practice address
1700 Ups Dr Ste 208
Louisville, KY 40223-5014
Phone
(502) 412-9197
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Dr. Robert Allen Underwood, PH.D.NPI 1467444125
Title
Licensed Psychologist
Phone
(502) 314-0546

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1330 KY Primary

Addresses

Primary practice location

1700 Ups Dr Ste 208
Louisville, KY 40223-5014

Mailing address

17322 Curry Branch Rd
Louisville, KY 40245-7500

Other identifiers 1

IdentifierTypeStateIssuer
1467444125OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1700 Ups Dr
Ste 208
Louisville, KY 40223
Phone (502) 314-0546

Practitioners & affiliated clinicians

Practitioners 2

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": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1942591292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17322 CURRY BRANCH RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402457500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UPS DR STE 208",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235014",
            "telephone_number": "502-412-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERWOOD PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "502-314-0546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "KY",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1467444125",
            "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 May 18, 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.