CLINTON M NOWICKE PSYCHOLOGY ASSISTANT
NPI 1831745223
Psychologist - Clinical in Louisville, KY

Active since August 13, 2019PECOS Enrolled
3840 RUCKRIEGEL PKWY STE 105, LOUISVILLE, KY 40299(502) 261-7227 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clinton M Nowicke Psychology Assistant NPPES

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

CLINTON M NOWICKE PSYCHOLOGY ASSISTANT (NPI 1831745223) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (277977) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gallipolis.

NPPES Registry Identity

NPI1831745223
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameCLINTON M NOWICKECredential: PSYCHOLOGY ASSISTANT
Location Address3840 RUCKRIEGEL PKWY STE 105Louisville, KY 40299-6836
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 559-9425 · Fax (502) 272-5339
Sole ProprietorNo
Enumeration DateAugust 13, 2019
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1831745223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in KY · 277977
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.
Also ListedPsychologistTaxonomy 103T00000X
3840 RUCKRIEGEL PKWY STE 105, Louisville, KY 40299

Secondary Practice Location 1

Location 13086 State Route 160Gallipolis, OH 45631-8409 · Phone (740) 446-5500 · Fax (740) 446-4951

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinton M Nowicke Psychology Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Clinton Nowicke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40299 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Pediatrics
3840 RUCKRIEGEL PKWY STE 105
LOUISVILLE, KY 40299
Pediatrics
3840 RUCKRIEGEL PKWY STE 105
LOUISVILLE, KY 40299

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 Clinton Nowicke's NPI number?

The NPI number for Clinton Nowicke is 1831745223. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Where is Clinton Nowicke located?

Clinton Nowicke practices at 3840 Ruckriegel Pkwy Ste 105, Louisville, KY 40299. The listed phone number is (502) 261-7227.

What is Clinton Nowicke's specialty?

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

Is Clinton Nowicke enrolled in Medicare?

Yes. Clinton Nowicke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clinton Nowicke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Nowicke reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). The 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 Clinton Nowicke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clinton Nowicke accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Clinton Nowicke 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 Clinton Nowicke was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.