NORTON CHILDREN'S MEDICAL GROUP LLC NPI 1548802549

NPI Information

  • NPI: 1548802549
  • Provider Name: NORTON CHILDREN'S MEDICAL GROUP, LLC
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Organization
  • Doing Business As: NORTON CHILDREN'S AUTISM CENTER
  • Address: 4803 OLYMPIA PARK PLZ STE 1100
    LOUISVILLE, KY
    ZIP 40241
  • Phone: (502) 272-5336

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NPI Details

NORTON CHILDREN'S MEDICAL GROUP, LLC is a developmental - behavioral pediatrics pediatrics in Louisville, KY. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. NORTON CHILDREN'S MEDICAL GROUP, LLC NPI is 1548802549. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Norton Children's Autism Center.

The provider's business location address is:

4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241-068
Phone: (502) 272-5336
Fax: (502) 272-5339

The provider's authorized official is Shelley Gast .
The authorized official title is Syst Vp Mngd Care & Payor Strat and has the following contact phone number (502) 272-5335.

The enumeration date for this NPI number is 10/10/2019 and was last updated on 4/1/2022.

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
1103K00000XBehavior AnalystNo
2103T00000XPsychologistNo
3103TB0200XPsychologistCognitive & BehavioralNo
4103TC0700XPsychologistClinicalNo
5103TC2200XPsychologistClinical Child & AdolescentNo
6208000000XPediatricsNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
8225X00000XOccupational TherapistNo
9225XP0200XOccupational TherapistPediatricsNo
10235Z00000XSpeech-Language PathologistNo
11363A00000XPhysician AssistantNo
12363AM0700XPhysician AssistantMedicalNo
13363AS0400XPhysician AssistantSurgicalNo
14363L00000XNurse PractitionerNo
152080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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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