Active NPI
Natalie R McCluggage, PHD
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1972892933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- KY-1775
- Practice address
- 521 Evergreen Place CT
Louisville, KY 40223-2277 - Phone
- (502) 797-0202
- Fax
- (502) 253-5753
- NPI assigned
- Mar 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0143 | KY | |
| Clinical Psychologist | 103TC0700X | KY-1775 | KY | Primary |
Addresses
Primary practice location
521 Evergreen Place CT
Louisville, KY 40223-2277
Mailing address
521 Evergreen Place CT
Louisville, KY 40223-2277
Other practice location 1
8007 Lyndon Centre Way, Suite # 101
Louisville, KS 40222
Phone (502) 690-8024
Other names 1
- Natalie Jill Roberts
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0143 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Design Well LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1730598228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1972892933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 EVERGREEN PLACE CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 EVERGREEN PLACE CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232277",
"telephone_number": "502-797-0202",
"fax_number": "502-253-5753"
}
],
"practiceLocations": [
{
"address_1": "8007 Lyndon Centre Way, Suite # 101",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KS",
"postal_code": "40222",
"country_code": "US",
"telephone_number": "502-690-8024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLUGGAGE",
"first_name": "NATALIE",
"middle_name": "R",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "0143",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "KY-1775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIE",
"last_name": "ROBERTS",
"middle_name": "JILL",
"code": "1",
"type": "Former Name"
}
]
}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 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.