BROOKE M THRELKELD


Address: 411 E Chestnut St, Louisville, KY 40202-1713
Phone: 5025880800

BROOKE M THRELKELD (NPI# 1891190880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891190880
Entity Type Individual
Full Name BROOKE M THRELKELD
Credential PSYD
Practice Address 411 E Chestnut St
Louisville
KY 40202-1713
Mailing Address Po Box 776879
Chicago
IL 60677-6879
Practice Telephone 5025880800
Practice Fax Number 5025880801
Mailing Telephone 5025889490
Mailing Fax Number 5022725116
Enumeration Date 2014-11-03
Last Update Date 2020-07-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent 		PSYLIP00211374 KY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100317280 05
IN 201269630 05

Office Location

Street Address 411 E CHESTNUT ST
City LOUISVILLE
State KY
Zip Code 40202-1713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497751044 Lisa Rachelle Klein Pediatrics 411 E Chestnut St, Louisville, KY 40202-1713 2005-06-27
1629686977 Kennedy Paige Richardson Genetic Counselor, MS 411 E Chestnut St, Louisville, KY 40202-1713 2020-07-22
1487279089 Laura Allen Nurse Practitioner 411 E Chestnut St, Louisville, KY 40202-1713 2020-06-10
1104448927 Daniel Winn Serber Genetic Counselor, MS 411 E Chestnut St, Louisville, KY 40202-1713 2020-05-14
1952941924 Sarah Hayden Nurse Practitioner 411 E Chestnut St, Louisville, KY 40202-1713 2020-01-08
1477190635 Bethany Ann Plummer Nurse Practitioner 411 E Chestnut St, Louisville, KY 40202-1713 2019-12-06
1578123444 Hallie Shpack Lyninger Genetic Counselor, MS 411 E Chestnut St, Louisville, KY 40202-1713 2019-06-13
1255994968 Lori Rae Hibbs Social Worker 411 E Chestnut St, Louisville, KY 40202-1713 2019-04-18
1255857421 Blakley E Hackman Nurse Practitioner 411 E Chestnut St, Louisville, KY 40202 2017-08-18
1972026797 Lara Marie Isaacs Speech-Language Pathologist 411 E Chestnut St, Louisville, KY 40202-1713 2017-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013307545 Karen Hutcheson Psychologist 9720 Park Plaza Ave Unit 103, Louisville, KY 40241-2289 2015-02-04
1063813491 Julie Marie Greenwell Psychologist 2823 Frankfort Ave, Louisville, KY 40206-2639 2014-09-04
1841530722 Stelios Jack Stylianou Psychologist 548 Brentwood Ave, Louisville, KY 40215-2844 2013-02-28
1245392760 Barbara L Taylor Psychologist 2341 Jones Bend Road, Louisville, TN 37777 2006-12-14
1992899611 Bryan D Carter Psychologist 200 East Chestnut Street, Louisville, KY 40202 2006-10-03
1245845163 Morgan Daffin Psychologist 200 E Chestnut St, Louisville, KY 40202-1831 2020-09-09
1053934612 Kayla N Larosa Psychologist 200 E Chestnut St, Louisville, KY 40202-1831 2020-05-18
1528552627 Paul Jerome Rosen Psychologist 912 Lily Creek Rd Ste 201, Louisville, KY 40243-2815 2018-06-21
1962868182 Kim Har Psychologist 200 E Chestnut St, Louisville, KY 40202-1831 2016-01-04
1891162152 Christine Erin Lam Brady Psychologist 200 E Chestnut St, Louisville, KY 40202-1831 2015-08-21
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Competitor

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City LOUISVILLE
Zip Code 40202

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Dataset Information

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.

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