MALLORY RICHERT PSYD
NPI 1003608324
Clinical Neuropsychologist in Louisville, KY

Active since May 21, 2025PECOS EnrolledAccepts Medicare Assignment
220 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202(502) 582-7484 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, May 21, 2025 (2 updates tracked since 2025).

About Mallory Richert Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY RICHERT PSYD (NPI 1003608324) is an individual clinical neuropsychologist in Louisville, Kentucky, licensed in Kentucky (295748) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003608324
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameMALLORY RICHERTCredential: PSYD
Location Address220 ABRAHAM FLEXNER WAYLouisville, KY 40202-3826
Mailing Address2375 Sir Barton Way Apt 2312Lexington, KY 40509-2568 · (402) 480-0216 · Fax (402) 480-0216
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 21, 2025
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
NPI 1003608324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in KY · 295748
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
220 ABRAHAM FLEXNER WAY, Louisville, KY 40202

Secondary Practice Location 1

Location 12375 Sir Barton Way Apt 2312Lexington, KY 40509-2568 · Phone (402) 480-0216 · Fax (402) 480-0216

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mallory Richert Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234641622
PECOS Enrollment IDI20250623001061
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
220 ABRAHAM FLEXNER WAY, STE #1200
LOUISVILLE, KY 40202
Psychologist (Clinical)
220 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Physical Medicine & Rehabilitation
220 ABRAHAM FLEXNER WAY, #1200
LOUISVILLE, KY 40202
Rehabilitation Hospital
220 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Rehabilitation Hospital
220 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Physical Medicine & Rehabilitation
220 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Physician Assistant
220 ABRAHAM FLEXNER WAY, FRAZIER REHAB INSTITUTE, 12TH FLOOR
LOUISVILLE, KY 40202
Physical Medicine & Rehabilitation
220 ABRAHAM FLEXNER WAY, 12TH FLOOR
LOUISVILLE, KY 40202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Richert's NPI number?

The NPI number for Mallory Richert is 1003608324. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Mallory Richert located?

Mallory Richert practices at 220 Abraham Flexner Way, Louisville, KY 40202. The listed phone number is (502) 582-7484.

What is Mallory Richert's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Mallory Richert enrolled in Medicare?

Yes. Mallory Richert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mallory Richert accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Mallory Richert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Richert was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.