| Sensible Psychiatric Services Pllc | |
|
4010 Dupont Cir Suite 300 Louisville KY 40207-4812 | |
| (502) 894-6066 | |
| (502) 371-5451 |
| Full Name | Sensible Psychiatric Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4010 Dupont Cir, Louisville, Kentucky |
| Authorized Official Name and Position | Eric F. Lydon (OWNER) |
| Authorized Official Contact | 5028946066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sensible Psychiatric Services Pllc 4010 Dupont Cir Suite 300 Louisville KY 40207-4812 Ph: (502) 894-6066 | Sensible Psychiatric Services Pllc 4010 Dupont Cir Suite 300 Louisville KY 40207-4812 Ph: (502) 894-6066 |
| NPI Number | 1730136995 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 01/15/2020 |
| Certification Date | 01/15/2020 |
| Medicare PECOS PAC ID | 0840295028 |
|---|---|
| Medicare Enrollment ID | O20060921000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730136995 | NPI | - | NPPES |
| 2778613000 | Other | PASSPORT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3479 (Kentucky) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 39958 (Kentucky) | Primary |
| Provider Name | Eric Lydon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609873579 PECOS PAC ID: 3072406669 Enrollment ID: I20040206000301 |
| Provider Name | Christy Renee Northern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841512142 PECOS PAC ID: 6901129709 Enrollment ID: I20141231002092 |
| Provider Name | Carrie Schanie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366822132 PECOS PAC ID: 7214245562 Enrollment ID: I20151006001873 |
| Provider Name | Samantha Catherine Renschler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518500693 PECOS PAC ID: 5890128532 Enrollment ID: I20191210002528 |
| Provider Name | Elise Monique Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760022487 PECOS PAC ID: 0345676128 Enrollment ID: I20200214002302 |
| Provider Name | Sharon Elaine Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477154235 PECOS PAC ID: 4688034911 Enrollment ID: I20230719000527 |
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