| Kentuckiana Mental Health Associates | |
|
105 Crescent Ave Louisville KY 40206-1525 | |
| (502) 895-4470 | |
| (502) 895-2030 |
| Full Name | Kentuckiana Mental Health Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 105 Crescent Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Peter Michael Steiner (PROVIDER/OWNER) |
| Authorized Official Contact | 5028954470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentuckiana Mental Health Associates 105 Crescent Ave Louisville KY 40206-1525 Ph: (502) 895-4470 | Kentuckiana Mental Health Associates 105 Crescent Ave Louisville KY 40206-1525 Ph: (502) 895-4470 |
| NPI Number | 1831487784 |
|---|---|
| Provider Enumeration Date | 07/13/2011 |
| Last Update Date | 02/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831487784 | NPI | - | NPPES |
| 00533067 | Other | KY | KY MEDICARE/NCMA |
| 200422540 | Other | KY | MEDICAID PIN |
| 64042609 | Other | KY | MEDICAID PIN |
| DB5875 | Other | KY | RAILROAD MEDICARE |
| 64042609 | Other | KY | MEDICAID/NCMA |
| 65942385 | Other | KY | MEDICAID GROUP PIN |
| 200478830A | Other | IN | MEDICAID GROUP PIN |
| P00115999 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 32156 (Kentucky) | Primary |
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