A NEWCO LLC NPI 1285103937

NPI Information

  • NPI: 1285103937
  • Provider Name: A NEWCO LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • CLIA Number: 18D2222564
  • Address: 1939 GOLDSMITH LN STE 100
    LOUISVILLE, KY
    ZIP 40218
  • Phone: (502) 873-7517

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NPI Details

A NEWCO LLC is a psychiatric/mental health nurse practitioner in Louisville, KY. A NEWCO LLC NPI is 1285103937. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1939 GOLDSMITH LN STE 100
LOUISVILLE, KY
ZIP 40218-090
Phone: (502) 873-7517
Fax: (502) 365-2876

The provider's authorized official is Bruce Melvin Cohen .
The authorized official title is Member and has the following contact phone number (502) 551-2460.

The CLIA number assigned to this NPI record is 18D2222564 - other - aode with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2018 and was last updated on 2/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
2363L00000XNurse PractitionerNo
3363LF0000XNurse PractitionerFamilyNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100598570MEDICAIDKENTUCKY
2PDZ000000400708OTHERAETNA BETTER HEALTH
32144175OTHERKENTUCKYWELLCARE
4000001237803OTHERKENTUCKYANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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