DESHIELDS BEHAVIORAL WELLNESS, INC.
NPI 1013371699
Psychologist - Clinical in Louisville, KY

Active since April 08, 2016
2515 GARDINER LN, LOUISVILLE, KY 40205(502) 681-7330(502) 489-5552 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Deshields Behavioral Wellness, Inc. NPPES

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

DESHIELDS BEHAVIORAL WELLNESS, INC. (NPI 1013371699) is a healthcare organization registered as a clinical in Louisville, Kentucky and active in the NPI registry since April 2016. The organization lists Katie Beth Deshields, President, as its authorized official.

NPPES Registry Identity

NPI1013371699
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDESHIELDS BEHAVIORAL WELLNESS, INC.
Location Address2515 GARDINER LNLouisville, KY 40205-3003
Mailing Address2515 Gardiner LnLouisville, KY 40205-3003 · (502) 681-7330 · Fax (502) 489-5552
Fax(502) 489-5552
Organization SubpartNo
Authorized OfficialKatie Beth DeshieldsPresident · (502) 681-7330
Enumeration DateApril 8, 2016
✔ NPI 1013371699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in KY · 216350
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2515 GARDINER LN, Louisville, KY 40205

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deshields Behavioral Wellness, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Deshields Behavioral Wellness, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1639320344
806 STONE CREEK PKWY STE 7
Louisville, KY 40223
(502) 681-7330
✔ PECOS✔ Accepts Medicare5.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Deshields Behavioral Wellness, Inc.'s NPI number?

The NPI number for Deshields Behavioral Wellness, Inc. is 1013371699. It was assigned to this organization in the NPPES registry on April 8, 2016.

Where is Deshields Behavioral Wellness, Inc. located?

Deshields Behavioral Wellness, Inc. is located at 2515 Gardiner Ln, Louisville, KY 40205. The listed phone number is (502) 681-7330.

What is Deshields Behavioral Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Deshields Behavioral Wellness, Inc. enrolled in Medicare?

Yes. Deshields Behavioral Wellness, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deshields Behavioral Wellness, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Deshields Behavioral Wellness, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deshields Behavioral Wellness, Inc. was last updated on April 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.