Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Commonwealth of Kentucky

Organization Psychiatry Physician · NPI 1578871679

Commonwealth of Kentucky is a Psychiatry Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2010.

Licensed in
KY
In the registry since
2010
Specialties on file
4

Practice location Address checks out

10510 Lagrange Rd
Louisville, KY 40223
Phone: (502) 253-7000
Fax: (503) 253-7044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X (KY)
Psychiatry Physician Taxonomy 2084P0800X
General Practice Physician Taxonomy 208D00000X
Psychiatric Hospital Taxonomy 283Q00000X

Record details

NPI number1578871679
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommonwealth of Kentucky
Authorized official Jennifer Moore — Assistant Director · (502) 782-6117
Other names Central State Hospital
NPI enumeratedSeptember 23, 2010
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address10510 Lagrange Road, Louisville, KY 40223

Other providers in Louisville