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LOUISVILLE PSYCHOTHERAPY GROUP, LLC
NPI 1770179517
Psychologist - Clinical in Louisville, KY

Active since December 16, 2020
1711 BARDSTOWN RD STE 202, LOUISVILLE, KY 40205(502) 208-8794 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Louisville Psychotherapy Group, Llc NPPES

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

LOUISVILLE PSYCHOTHERAPY GROUP, LLC (NPI 1770179517) is a healthcare organization registered as a clinical in Louisville, Kentucky and active in the NPI registry since December 2020. The organization lists Eric Russ, Owner, as its authorized official.

NPPES Registry Identity

NPI1770179517
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLOUISVILLE PSYCHOTHERAPY GROUP, LLC
Location Address1711 BARDSTOWN RD STE 202Louisville, KY 40205-2258
Mailing Address2239 1/2 Talbott AveLouisville, KY 40205-2271 · (404) 290-7916
Phone(502) 208-8794
Organization SubpartNo
Authorized OfficialEric RussOwner · (404) 290-7916
Enumeration DateDecember 16, 2020
NPPES CertifiedDecember 16, 2020
✔ NPI 1770179517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.

1711 BARDSTOWN RD STE 202, Louisville, KY 40205
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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

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 Louisville Psychotherapy Group, LLC's NPI number?

The NPI number for Louisville Psychotherapy Group, LLC is 1770179517. It was assigned to this organization in the NPPES registry on December 16, 2020.

Where is Louisville Psychotherapy Group, LLC located?

Louisville Psychotherapy Group, LLC is located at 1711 Bardstown Rd Ste 202, Louisville, KY 40205. The listed phone number is (502) 208-8794.

What is Louisville Psychotherapy Group, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Louisville Psychotherapy Group, LLC was last updated on December 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.