MARK CHARLES (NPI# 1104188374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104188374 |
| Entity Type | Individual |
| Full Name | MARK CHARLES |
| Practice Address |
914 E Broadway 2nd Floor Louisville KY 40204-1037 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5025898600 |
| Practice Fax Number | 5025898771 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
914 E BROADWAY 2ND FLOOR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902832280 | Marian Lancaster | Counselor | 914 E Broadway, Ste. 216, Louisville, KY 40204-1037 | 2006-06-25 |
| 1255931218 | Ashley M Dountz | Social Worker | 914 E Broadway, Louisville, KY 40204-1037 | 2020-10-29 |
| 1659978716 | Alexandria A Farmer-jucoff | Psychologist | 914 E Broadway, Louisville, KY 40204-1037 | 2020-10-02 |
| 1396352050 | Jane A Guthrie | Marriage & Family Therapist | 914 E Broadway, Louisville, KY 40204-1037 | 2020-09-28 |
| 1023628146 | Lindsay N Brotzge | Social Worker | 914 E Broadway, Louisville, KY 40204-1037 | 2020-08-04 |
| 1801422084 | Stephanie Hurst | Social Worker | 914 E Broadway, Louisville, KY 40204-1037 | 2020-03-19 |
| 1205466083 | Lindsey M Smith | Counselor | 914 E Broadway, Louisville, KY 40204-1037 | 2020-01-22 |
| 1164060141 | Rita Kircher | Social Worker | 914 E Broadway, Louisville, KY 40204-1037 | 2019-12-20 |
| 1457999567 | Ashley Vaden | Marriage & Family Therapist | 914 E Broadway, Louisville, KY 40204-1037 | 2019-12-19 |
| 1407408248 | Heather R Hudson | Counselor | 914 E Broadway, Louisville, KY 40204-1037 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| Find all providers in zip 40204 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104446921 | Marina Sud | Psychologist | 1834 Gresham Rd, Louisville, KY 40205-2424 | 2020-04-22 |
| 1881227023 | Perspectives Psychological Services Pllc | Psychologist | 2802 Woodward Dr, Louisville, KY 40220-1265 | 2020-02-17 |
| 1104476126 | Zachary Clayborne Dietrich | Psychologist | 100 Executive Park Ste 103, Louisville, KY 40207-4201 | 2019-09-12 |
| 1174177901 | Hopebridge LLC | Psychologist | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2019-07-30 |
| 1740742923 | Jean Leonard | Psychologist | 864 W South Boulder Rd Unit 201, Louisville, CO 80027-2598 | 2019-04-04 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265914345 | Shelby Burton | Psychologist | 411 E Chestnut St # St2, Louisville, KY 40202-1713 | 2018-09-05 |
| 1285121004 | Mark L Dean | Psychologist | 1100 Glenlake Way, Louisville, KY 40245-5222 | 2018-04-17 |
| 1366948671 | Sagan Lee Ladd | Psychologist | 5602 Oxford Ct Apt 712, Louisville, KY 40291-2109 | 2018-04-04 |
| 1245731249 | Joseph L Bargione | Psychologist | 4504 Dakin Ct, Louisville, KY 40299-6226 | 2018-02-24 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.