Active NPI
Jalen Rhodes
- School Psychologist
- Louisville, KY
National Provider Identifier
1952158743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 201209316
- Practice address
- 5105 Gemma Way Apt 212
Louisville, KY 40219-4086 - Phone
- (270) 834-0189
- NPI assigned
- May 1, 2024
- Last updated
- May 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 201209316 | KY | Primary |
Addresses
Primary practice location
5105 Gemma Way Apt 212
Louisville, KY 40219-4086
Mailing address
5105 Gemma Way Apt 212
Louisville, KY 40219-4086
Phone (270) 834-0189
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201209316 | KY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1952158743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 GEMMA WAY APT 212",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402194086",
"telephone_number": "270-834-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 GEMMA WAY APT 212",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402194086",
"telephone_number": "270-834-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "JALEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-01",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "KY",
"license": "201209316",
"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 May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.