Individual provider Active NPI

Kristen Elizabeth Milazzo, PSYD

  • Psychologist
  • Louisville, KY
National Provider Identifier
1982852851
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1655 Issued in KY
Practice address
9700 Park Plaza Ave Unit 106
Pediatric Psychological Associates, PLLC: Helping Kids
Louisville, KY 40241-2286
Phone
(502) 429-5431
Fax
(502) 429-5439
NPI assigned
Sep 4, 2008
Last updated
Nov 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1655 KY Primary

Addresses

Primary practice location

9700 Park Plaza Ave Unit 106
Pediatric Psychological Associates, PLLC: Helping Kids
Louisville, KY 40241-2286

Mailing address

9700 Park Plaza Ave Unit 106
Pediatric Psychological Associates, PLLC: Helping Kids
Louisville, KY 40241-2286
Phone (502) 429-5431

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
1655KYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Psychological Associates PLLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1982852851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 PARK PLAZA AVE UNIT 106",
            "address_2": "PEDIATRIC PSYCHOLOGICAL ASSOCIATES, PLLC: HELPING KIDS",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412286",
            "telephone_number": "502-429-5431",
            "fax_number": "502-429-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 PARK PLAZA AVE UNIT 106",
            "address_2": "PEDIATRIC PSYCHOLOGICAL ASSOCIATES, PLLC: HELPING KIDS",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412286",
            "telephone_number": "502-429-5431",
            "fax_number": "502-429-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAZZO",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "1655",
            "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 Nov 3, 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.