Larry M Raskin, PHD, | |
7400 New La Grange Rd, Ste 312, Louisville, KY 40222-4870 | |
(502) 394-9990 | |
(502) 394-9992 |
Full Name | Larry M Raskin |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 7400 New La Grange Rd, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750360624 | NPI | - | NPPES |
128578 | Other | KY | APS |
10466 | Other | KY | CIGNA BEHAVIORAL HEALTH |
7245146 | Other | KY | AETNA |
226159 | Other | KY | MHN |
000000047451 | Other | KY | ANTHEM BCBS |
179632 | Other | KY | COMPSYCH |
89002158 | Medicaid | KY | |
009408 | Other | KY | VALUE OPTIONS |
037902000 | Other | KY | MAGELLAN |
6106230 | Other | KY | UNITED BEHAVIORAL HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | KY 0215 (Kentucky) | Primary |
103TC0700X | Psychologist - Clinical | 20010039A (Indiana) | Secondary |
Entity Name | Larry M. Raskin, Ph.d., P.s.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952389389 PECOS PAC ID: 5698757003 Enrollment ID: O20040601000912 |
Mailing Address | Practice Location Address |
---|---|
Larry M Raskin, PHD, 7400 New La Grange Rd, Ste 312, Louisville, KY 40222-4870 Ph: (502) 394-9990 | Larry M Raskin, PHD, 7400 New La Grange Rd, Ste 312, Louisville, KY 40222-4870 Ph: (502) 394-9990 |
Mary K Thompson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 903 Baxter Ave, Louisville, KY 40204 Phone: 502-458-7366 Fax: 502-458-7362 | |
Dr. Ann M Brian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1909 Richmond Dr, Louisville, KY 40205 Phone: 502-451-8816 | |
Mr. Jeffery T Mercer, MA Psychologist Medicare: Medicare Enrolled Practice Location: 11003 Perwinkle Ln, Louisville, KY 40291 Phone: 502-618-2620 | |
Dr. Nicholas Bach, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Evergreen Rd Ste 104, Louisville, KY 40243 Phone: 502-203-0838 | |
Dr. Stacy Lyn Cambron, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7982 New Lagrange Rd, Suite 4, Louisville, KY 40222 Phone: 502-426-6022 Fax: 502-426-9913 | |
Dr. Louis Earl Epstein, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3333 Bardstown Road, Louisville, KY 40218 Phone: 502-459-7433 Fax: 502-459-5650 | |
Ms. Sandra Ellen Freedman, PSYCH. ASSOCIATE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9702 Stonestreet Rd, Ste. 110, Louisville, KY 40272 Phone: 502-589-8600 Fax: 502-589-8771 |